Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.82 / $230.87 / $322.33	Facility		$159.82	$230.87	$322.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $159.82 / $329.72	Professional		$92.73	$159.82	$329.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $713.37 / $1,455.83	Facility		$154.44	$713.37	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $157.11 / $251.81 / $927.52	Professional		$157.11	$251.81	$927.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.69 / $174.69 / $174.69	Facility		$174.69	$174.69	$174.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $195.88 / $357.44	Professional		$111.45	$195.88	$357.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $103.87 / $182.26 / $302.45	Facility		$103.87	$182.26	$302.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $182.26 / $295.41	Professional		$103.87	$182.26	$295.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $151.29 / $268.52	Professional		$27.16	$151.29	$268.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.10 / $233.16 / $253.93	Facility		$141.10	$233.16	$253.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $163.53 / $173.20	Facility		$51.43	$163.53	$173.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.96 / $226.23 / $310.06	Professional		$154.96	$226.23	$310.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $493.52 / $761.06 / $1,455.83	Facility		$493.52	$761.06	$1,455.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.76 / $207.48 / $297.64	Professional		$141.76	$207.48	$297.64
United Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $949.88 / $1,827.82	Facility		$546.00	$949.88	$1,827.82
United Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $203.57 / $353.40	Professional		$137.00	$203.57	$353.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $106.56 / $141.62	Professional		$102.55	$106.56	$141.62