Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.59 / $300.98 / $697.12	Facility		$132.59	$300.98	$697.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $132.59 / $296.27	Professional		$88.56	$132.59	$296.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $194.74 / $280.42 / $444.00	Facility		$194.74	$280.42	$444.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $1,362.38	Professional		$331.13	$331.13	$1,362.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $257.38	Facility		$128.69	$128.69	$257.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.74 / $379.76 / $529.67	Facility		$200.74	$379.76	$529.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.74 / $379.76 / $484.48	Professional		$200.74	$379.76	$484.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $364.24	Professional		$75.00	$75.00	$364.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.39 / $313.56 / $313.56	Facility		$257.39	$313.56	$313.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.74 / $233.69 / $426.93	Facility		$194.74	$233.69	$426.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.57 / $331.13 / $331.13	Professional		$314.57	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $311.17	Professional		$259.31	$259.31	$311.17