Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.72 / $329.44 / $873.06	Facility		$142.72	$329.44	$873.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $128.08 / $140.27	Professional		$101.23	$128.08	$140.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $151.84 / $253.07 / $667.32	Facility		$151.84	$253.07	$667.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $282.72 / $1,085.40	Professional		$130.15	$282.72	$1,085.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $233.12 / $400.08	Facility		$86.29	$233.12	$400.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $162.02 / $197.45	Professional		$83.85	$162.02	$197.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $212.58 / $399.46	Facility		$144.61	$212.58	$399.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $245.84 / $402.90	Professional		$144.61	$245.84	$402.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $141.57 / $153.46	Professional		$75.00	$141.57	$153.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $144.61 / $273.75	Facility		$144.61	$144.61	$273.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $253.07 / $433.83	Facility		$144.61	$253.07	$433.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $130.15 / $130.15	Professional		$130.15	$130.15	$130.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.84 / $237.31 / $397.68	Facility		$151.84	$237.31	$397.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $281.50 / $335.92	Professional		$159.94	$281.50	$335.92
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $101.87 / $218.38	Professional		$86.77	$101.87	$218.38