Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.80 / $358.36 / $587.39	Facility		$252.80	$358.36	$587.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $284.38 / $587.39	Professional		$140.10	$284.38	$587.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.73 / $713.37 / $1,455.83	Facility		$271.73	$713.37	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $233.54 / $436.35 / $1,697.92	Professional		$233.54	$436.35	$1,697.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.60 / $337.60 / $337.60	Facility		$337.60	$337.60	$337.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $330.91 / $650.24	Professional		$178.11	$330.91	$650.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $168.92 / $297.01 / $555.75	Facility		$168.92	$297.01	$555.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $298.36 / $542.19	Professional		$168.92	$298.36	$542.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $354.08 / $625.40	Professional		$63.47	$354.08	$625.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.04 / $416.74 / $464.98	Facility		$250.04	$416.74	$464.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $294.45 / $317.16	Facility		$90.49	$294.45	$317.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.18 / $347.45 / $557.04	Professional		$228.18	$347.45	$557.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $550.49 / $761.06 / $1,455.83	Facility		$550.49	$761.06	$1,455.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.33 / $326.55 / $527.09	Professional		$206.33	$326.55	$527.09
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.75 / $317.22 / $614.49	Professional		$217.75	$317.22	$614.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $196.01 / $265.48	Professional		$152.22	$196.01	$265.48