Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.96 / $287.25 / $681.86	Facility		$117.96	$287.25	$681.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $129.59 / $149.09	Professional		$96.45	$129.59	$149.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $219.61 / $596.08	Facility		$131.76	$219.61	$596.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $257.33 / $1,215.00	Professional		$112.94	$257.33	$1,215.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $256.95 / $367.07	Facility		$86.29	$256.95	$367.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $140.62 / $183.25	Professional		$77.77	$140.62	$183.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $184.47 / $385.33	Facility		$125.49	$184.47	$385.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $244.80 / $393.59	Professional		$125.49	$244.80	$393.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $122.85 / $133.16	Professional		$75.00	$122.85	$133.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $125.49 / $292.13	Facility		$125.49	$125.49	$292.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $219.61 / $376.47	Facility		$125.49	$219.61	$376.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $112.94 / $112.94	Professional		$112.94	$112.94	$112.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $207.06 / $345.10	Facility		$131.76	$207.06	$345.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $244.46 / $291.80	Professional		$145.33	$244.46	$291.80
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $102.02 / $225.27	Professional		$75.29	$102.02	$225.27