Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.48 / $407.32 / $1,456.51	Facility		$248.48	$407.32	$1,456.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.53 / $248.48 / $396.50	Professional		$166.53	$248.48	$396.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $277.56 / $422.94 / $946.21	Facility		$277.56	$422.94	$946.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $561.76 / $1,982.55	Professional		$237.91	$561.76	$1,982.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.34 / $426.11 / $682.55	Facility		$122.34	$426.11	$682.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $279.38 / $360.50	Professional		$122.92	$279.38	$360.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $230.02 / $347.04 / $704.86	Facility		$230.02	$347.04	$704.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $393.63 / $717.83	Professional		$237.91	$393.63	$717.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $258.78 / $280.51	Professional		$75.00	$258.78	$280.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $264.33 / $555.11	Facility		$264.33	$264.33	$555.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $447.35 / $793.02	Facility		$264.33	$447.35	$793.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $237.91 / $237.91	Professional		$237.91	$237.91	$237.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $277.56 / $422.94 / $726.94	Facility		$277.56	$422.94	$726.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $292.36 / $514.52 / $614.55	Professional		$292.36	$514.52	$614.55
United Facility/Professional Professional Modifier Low / Median / High Price $147.43 / $158.60 / $399.19	Professional		$147.43	$158.60	$399.19