Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.36 / $447.88 / $1,667.44	Facility		$89.36	$447.88	$1,667.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $284.45 / $447.88	Professional		$39.77	$284.45	$447.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $272.36 / $475.11 / $1,250.24	Facility		$272.36	$475.11	$1,250.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $257.23 / $659.71 / $2,269.65	Professional		$257.23	$659.71	$2,269.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $487.82 / $781.39	Facility		$28.91	$487.82	$781.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $319.88 / $412.77	Professional		$29.09	$319.88	$412.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $318.56 / $836.83	Facility		$65.65	$318.56	$836.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $378.28 / $836.83	Professional		$85.50	$378.28	$836.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $296.26 / $321.13	Professional		$75.00	$296.26	$321.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $635.50	Facility		$302.62	$302.62	$635.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.36 / $484.19 / $907.86	Facility		$272.36	$484.19	$907.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $272.36 / $272.36	Professional		$272.36	$272.36	$272.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $317.75 / $484.19 / $832.21	Facility		$317.75	$484.19	$832.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $334.70 / $588.60 / $703.57	Professional		$334.70	$588.60	$703.57
United Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $302.62 / $302.62	Facility		$31.51	$302.62	$302.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $127.10 / $338.93	Professional		$24.83	$127.10	$338.93