Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.92 / $296.92 / $296.92	Facility		$296.92	$296.92	$296.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $284.85 / $296.92	Professional		$194.49	$284.85	$296.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $354.11 / $968.85	Facility		$291.27	$354.11	$968.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $299.64 / $533.69 / $2,805.00	Professional		$299.64	$533.69	$2,805.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.87 / $544.38 / $685.79	Professional		$392.87	$544.38	$685.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.73 / $457.32 / $591.50	Facility		$242.73	$457.32	$591.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $472.95 / $607.05	Professional		$262.27	$472.95	$607.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $351.72 / $434.16	Facility		$96.00	$351.72	$434.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $291.27 / $296.14	Facility		$291.27	$291.27	$296.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.82 / $489.26 / $587.79	Professional		$304.82	$489.26	$587.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.07 / $425.73 / $573.79	Professional		$297.07	$425.73	$573.79
United Facility/Professional Professional Modifier Low / Median / High Price $268.83 / $388.61 / $610.84	Professional		$268.83	$388.61	$610.84