Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.82 / $268.97 / $426.93	Facility		$188.82	$268.97	$426.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $189.85 / $423.66	Professional		$106.69	$189.85	$423.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $713.37 / $1,455.83	Facility		$212.00	$713.37	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $313.33 / $1,217.52	Professional		$173.46	$313.33	$1,217.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.91 / $255.91 / $255.91	Facility		$255.91	$255.91	$255.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $225.25 / $446.43	Professional		$132.66	$225.25	$446.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $126.28 / $222.00 / $398.72	Facility		$126.28	$222.00	$398.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $223.36 / $387.48	Professional		$126.28	$223.36	$387.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $201.32 / $357.49	Professional		$36.60	$201.32	$357.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.43 / $302.61 / $333.66	Facility		$193.43	$302.61	$333.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $212.00 / $227.59	Facility		$74.26	$212.00	$227.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.42 / $260.52 / $403.41	Professional		$171.42	$260.52	$403.41
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 $155.40 / $245.10 / $383.64	Professional		$155.40	$245.10	$383.64
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 $180.40 / $252.55 / $467.29	Professional		$180.40	$252.55	$467.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $139.69 / $188.05	Professional		$112.28	$139.69	$188.05