Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $317.99 / $401.59	Professional		$150.79	$317.99	$401.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $426.34 / $619.47 / $1,957.92	Facility		$426.34	$619.47	$1,957.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $372.48 / $486.60 / $2,716.65	Professional		$372.48	$486.60	$2,716.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Professional		$175.28	$175.28	$175.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $256.06 / $450.17 / $1,181.22	Facility		$256.06	$450.17	$1,181.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.51 / $449.28 / $813.76	Professional		$258.51	$449.28	$813.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $335.93 / $410.58 / $410.58	Professional		$335.93	$410.58	$410.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.48 / $475.48 / $486.90	Facility		$475.48	$475.48	$486.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.34 / $426.34 / $426.34	Facility		$426.34	$426.34	$426.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.16 / $461.22 / $546.79	Professional		$404.16	$461.22	$546.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.04 / $413.87 / $535.59	Professional		$389.04	$413.87	$535.59
United Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $182.18 / $347.58	Professional		$168.44	$182.18	$347.58