Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $414.31 / $1,039.02	Facility		$177.26	$414.31	$1,039.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $184.75 / $282.85	Professional		$171.25	$184.75	$282.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $198.00 / $330.00 / $895.71	Facility		$198.00	$330.00	$895.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $400.45 / $1,478.21	Professional		$169.71	$400.45	$1,478.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.45 / $386.10 / $551.57	Facility		$124.45	$386.10	$551.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $211.48 / $264.06	Professional		$116.96	$211.48	$264.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $277.20 / $557.11	Facility		$188.57	$277.20	$557.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $352.80 / $580.65	Professional		$188.57	$352.80	$580.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $184.61 / $200.10	Professional		$75.00	$184.61	$200.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $188.57 / $447.93	Facility		$188.57	$188.57	$447.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $330.00 / $565.71	Facility		$188.57	$330.00	$565.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $169.71 / $169.71	Professional		$169.71	$169.71	$169.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.00 / $311.14 / $518.57	Facility		$198.00	$311.14	$518.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.62 / $367.03 / $438.08	Professional		$209.62	$367.03	$438.08
United Facility/Professional Facility Modifier Low / Median / High Price $179.14 / $188.57 / $197.16	Facility		$179.14	$188.57	$197.16
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $147.16 / $284.77	Professional		$113.14	$147.16	$284.77