Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $240.16 / $265.60	Professional		$98.88	$240.16	$265.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $279.58 / $462.96 / $1,285.08	Facility		$279.58	$462.96	$1,285.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $319.08 / $1,753.88	Professional		$265.02	$319.08	$1,753.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $168.02 / $295.39 / $774.57	Facility		$168.02	$295.39	$774.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.59 / $294.72 / $533.36	Professional		$169.59	$294.72	$533.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.28 / $269.23 / $269.23	Professional		$220.28	$269.23	$269.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.85 / $311.80 / $319.27	Facility		$233.85	$311.80	$319.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.58 / $279.58 / $279.58	Facility		$279.58	$279.58	$279.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $311.80 / $358.57	Professional		$265.02	$311.80	$358.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.11 / $271.39 / $351.21	Professional		$255.11	$271.39	$351.21
United Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $119.47 / $227.92	Professional		$110.45	$119.47	$227.92