Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $298.25 / $408.59	Facility		$172.40	$298.25	$408.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $172.40 / $202.82	Professional		$162.26	$172.40	$202.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $161.16 / $247.77 / $564.07	Facility		$161.16	$247.77	$564.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $192.68 / $886.14	Professional		$182.61	$192.68	$886.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $344.80	Facility		$172.40	$172.40	$344.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.58 / $420.05 / $1,199.29	Facility		$151.58	$420.05	$1,199.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.68 / $315.45 / $315.45	Professional		$192.68	$315.45	$315.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $169.02 / $185.92	Professional		$164.10	$169.02	$185.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.68 / $250.48 / $578.04	Facility		$192.68	$250.48	$578.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.05 / $257.86 / $451.25	Facility		$145.05	$257.86	$451.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.68 / $192.68 / $192.68	Professional		$192.68	$192.68	$192.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.46 / $198.22 / $367.77	Facility		$157.46	$198.22	$367.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $192.68 / $192.68	Professional		$183.05	$192.68	$192.68
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $243.38	Professional		$202.82	$202.82	$243.38