Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.61 / $346.62 / $435.39	Facility		$239.61	$346.62	$435.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $239.61 / $399.92	Professional		$217.64	$239.61	$399.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $311.20 / $2,284.10 / $4,661.35	Facility		$311.20	$2,284.10	$4,661.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $531.74 / $1,954.95	Professional		$299.83	$531.74	$1,954.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.30 / $241.60 / $308.62	Facility		$124.30	$241.60	$308.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $234.82 / $291.76	Professional		$117.41	$234.82	$291.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $252.94 / $513.77 / $805.80	Facility		$252.94	$513.77	$805.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.94 / $513.77 / $729.17	Professional		$252.94	$513.77	$729.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.62 / $216.87 / $500.13	Professional		$35.62	$216.87	$500.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.62 / $441.32 / $576.20	Facility		$346.62	$441.32	$576.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $294.00 / $311.20	Facility		$294.00	$294.00	$311.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.88 / $508.84 / $624.51	Professional		$316.88	$508.84	$624.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,272.93 / $2,382.73 / $4,634.07	Facility		$1,272.93	$2,382.73	$4,634.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $446.88 / $564.40	Professional		$299.83	$446.88	$564.40
United Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $156.82 / $340.45	Professional		$138.26	$156.82	$340.45