Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.27 / $342.38 / $828.10	Facility		$141.27	$342.38	$828.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $141.27 / $293.07	Professional		$116.29	$141.27	$293.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $157.80 / $263.01 / $620.91	Facility		$157.80	$263.01	$620.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $312.08 / $1,249.00	Professional		$138.33	$312.08	$1,249.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $307.72 / $474.72	Facility		$104.04	$307.72	$474.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.72 / $168.70 / $220.81	Professional		$93.72	$168.70	$220.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $221.11 / $464.92	Facility		$150.29	$221.11	$464.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $294.72 / $470.76	Professional		$150.29	$294.72	$470.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $147.13 / $159.47	Professional		$75.00	$147.13	$159.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $150.29 / $315.61	Facility		$150.29	$150.29	$315.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $263.01 / $450.87	Facility		$150.29	$263.01	$450.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $135.26 / $135.26	Professional		$135.26	$135.26	$135.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.80 / $247.98 / $413.30	Facility		$157.80	$247.98	$413.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $292.27 / $349.07	Professional		$175.24	$292.27	$349.07
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $122.84 / $226.96	Professional		$90.17	$122.84	$226.96