Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $165.48 / $349.06	Professional		$153.19	$165.48	$349.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $662.55 / $1,550.44	Facility		$27.44	$662.55	$1,550.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $241.32 / $344.95	Professional		$27.85	$241.32	$344.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $244.43	Facility		$244.43	$244.43	$244.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $207.77 / $284.64	Professional		$178.43	$207.77	$284.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $308.95 / $308.95	Facility		$308.95	$308.95	$308.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.95 / $308.95 / $308.95	Professional		$308.95	$308.95	$308.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $231.72 / $338.80	Professional		$30.90	$231.72	$338.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $304.92 / $308.95 / $339.86	Facility		$304.92	$308.95	$339.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $274.37 / $274.37	Facility		$27.44	$274.37	$274.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $254.97 / $344.95	Professional		$25.50	$254.97	$344.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $299.95 / $299.95 / $299.95	Facility		$299.95	$299.95	$299.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $22.87 / $27.85	Professional		$22.87	$22.87	$27.85
United Facility/Professional Professional Modifier Low / Median / High Price $144.79 / $152.44 / $293.11	Professional		$144.79	$152.44	$293.11