Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.30 / $191.38 / $381.23	Facility		$183.30	$191.38	$381.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.29 / $381.23 / $381.23	Professional		$363.29	$381.23	$381.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.25 / $356.25 / $426.08	Facility		$90.25	$356.25	$426.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $383.47 / $426.08 / $678.99	Professional		$383.47	$426.08	$678.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $381.23 / $381.23	Facility		$161.50	$381.23	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $199.87 / $281.48	Facility		$96.33	$199.87	$281.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $203.30 / $283.12	Professional		$96.33	$203.30	$283.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $775.98 / $2,343.41	Professional		$75.00	$775.98	$2,343.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $463.10 / $564.14 / $564.14	Facility		$463.10	$564.14	$564.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.25 / $90.25 / $90.25	Facility		$90.25	$90.25	$90.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $90.25 / $90.25	Professional		$90.25	$90.25	$90.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.08 / $426.08 / $426.08	Facility		$426.08	$426.08	$426.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $404.78 / $426.08 / $426.08	Professional		$404.78	$426.08	$426.08
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $468.00	Professional		$390.00	$390.00	$468.00