Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.75 / $271.05 / $414.73	Facility		$182.75	$271.05	$414.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $156.79 / $349.59	Professional		$105.76	$156.79	$349.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $146.90 / $446.53 / $987.53	Facility		$146.90	$446.53	$987.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $293.93 / $1,099.20	Professional		$184.60	$293.93	$1,099.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.41 / $162.41 / $162.41	Facility		$162.41	$162.41	$162.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $236.09 / $410.43	Professional		$135.46	$236.09	$410.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $221.74 / $353.29	Facility		$120.45	$221.74	$353.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $219.67 / $345.89	Professional		$120.45	$219.67	$345.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $202.16 / $356.23	Professional		$36.39	$202.16	$356.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.81 / $271.35 / $295.47	Facility		$182.81	$271.35	$295.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $193.88 / $201.54	Facility		$48.92	$193.88	$201.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.06 / $265.19 / $361.74	Professional		$186.06	$265.19	$361.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.56 / $446.53 / $854.16	Facility		$289.56	$446.53	$854.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $247.90 / $347.55	Professional		$162.94	$247.90	$347.55
United Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $648.00 / $5,793.00	Facility		$151.00	$648.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.73 / $234.90 / $412.30	Professional		$176.73	$234.90	$412.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.19 / $121.75 / $159.63	Professional		$118.19	$121.75	$159.63