Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.80 / $644.28 / $1,763.20	Facility		$300.80	$644.28	$1,763.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $300.80 / $509.79	Professional		$224.00	$300.80	$509.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $336.00 / $512.00 / $1,322.05	Facility		$336.00	$512.00	$1,322.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $655.73 / $2,400.00	Professional		$294.39	$655.73	$2,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.80 / $680.22 / $936.00	Facility		$332.80	$680.22	$936.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $358.72 / $436.44	Professional		$169.11	$358.72	$436.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $315.89 / $400.00 / $913.73	Facility		$315.89	$400.00	$913.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $470.40 / $885.34	Professional		$320.00	$470.40	$885.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $320.00 / $672.00	Facility		$320.00	$320.00	$672.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $560.00 / $960.00	Facility		$320.00	$560.00	$960.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $400.00 / $483.20	Professional		$288.00	$400.00	$483.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $336.00 / $525.12 / $880.00	Facility		$336.00	$525.12	$880.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $353.92 / $622.94 / $743.81	Professional		$353.92	$622.94	$743.81
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $134.40 / $358.40	Professional		$134.40	$134.40	$358.40