Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.21 / $599.12 / $1,449.07	Facility		$247.21	$599.12	$1,449.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $247.21 / $255.10	Professional		$139.38	$247.21	$255.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $420.78 / $1,086.52	Facility		$276.14	$420.78	$1,086.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $513.79 / $1,972.43	Professional		$236.69	$513.79	$1,972.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.50 / $559.03 / $679.06	Facility		$273.50	$559.03	$679.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $286.06 / $384.61	Professional		$129.81	$286.06	$384.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $328.74 / $900.00	Facility		$262.99	$328.74	$900.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $447.08 / $813.35	Professional		$262.99	$447.08	$813.35
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 $262.99 / $276.14 / $394.49	Facility		$262.99	$276.14	$394.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $460.23 / $788.97	Facility		$262.99	$460.23	$788.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $328.74 / $397.11	Professional		$236.69	$328.74	$397.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $420.78 / $723.22	Facility		$276.14	$420.78	$723.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $290.87 / $511.82 / $611.46	Professional		$290.87	$511.82	$611.46
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $110.46 / $294.55	Professional		$110.46	$110.46	$294.55