Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $383.31 / $956.87	Facility		$163.24	$383.31	$956.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $170.92 / $257.02	Professional		$158.44	$170.92	$257.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $182.34 / $303.91 / $824.89	Facility		$182.34	$303.91	$824.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $369.32 / $1,367.63	Professional		$163.24	$369.32	$1,367.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $301.64 / $507.96	Facility		$115.12	$301.64	$507.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $194.60 / $244.33	Professional		$107.62	$194.60	$244.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $255.28 / $514.55	Facility		$173.66	$255.28	$514.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $326.39 / $537.20	Professional		$173.66	$326.39	$537.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $170.01 / $184.28	Professional		$75.00	$170.01	$184.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $173.66 / $364.69	Facility		$173.66	$173.66	$364.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $303.91 / $520.98	Facility		$173.66	$303.91	$520.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $156.29 / $156.29	Professional		$156.29	$156.29	$156.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $182.34 / $286.54 / $477.57	Facility		$182.34	$286.54	$477.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.94 / $338.08 / $404.03	Professional		$193.94	$338.08	$404.03
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $138.74 / $238.22	Professional		$104.20	$138.74	$238.22