Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.91 / $644.42 / $1,558.67	Facility		$265.91	$644.42	$1,558.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.13 / $224.56 / $700.00	Professional		$107.13	$224.56	$700.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $452.61 / $6,610.71	Facility		$297.02	$452.61	$6,610.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $579.16 / $2,121.60	Professional		$254.59	$579.16	$2,121.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.71 / $649.24 / $827.42	Facility		$413.71	$649.24	$827.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $317.23 / $400.43	Professional		$149.55	$317.23	$400.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $279.31 / $353.60 / $807.92	Facility		$279.31	$353.60	$807.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $415.83 / $783.01	Professional		$282.88	$415.83	$783.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $276.93 / $300.17	Professional		$75.00	$276.93	$300.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $594.04	Facility		$282.88	$282.88	$594.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $495.04 / $990.08	Facility		$282.88	$495.04	$990.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $353.60 / $427.15	Professional		$254.59	$353.60	$427.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $464.21 / $777.92	Facility		$297.02	$464.21	$777.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $312.87 / $550.21 / $657.90	Professional		$312.87	$550.21	$657.90
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $316.83	Professional		$118.81	$118.81	$316.83