Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.79 / $213.73 / $319.07	Facility		$149.79	$213.73	$319.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $157.22 / $326.91	Professional		$81.62	$157.22	$326.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $147.66 / $744.18 / $1,455.83	Facility		$147.66	$744.18	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $238.61 / $914.72	Professional		$139.34	$238.61	$914.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.55 / $168.55 / $168.55	Facility		$168.55	$168.55	$168.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.62 / $187.35 / $347.72	Professional		$102.62	$187.35	$347.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $172.74 / $304.10	Facility		$98.82	$172.74	$304.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $172.74 / $293.76	Professional		$98.82	$172.74	$293.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $151.02 / $268.41	Professional		$27.30	$151.02	$268.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $221.10 / $250.58	Facility		$144.00	$221.10	$250.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.18 / $161.72 / $170.92	Facility		$49.18	$161.72	$170.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $203.62 / $305.89	Professional		$137.93	$203.62	$305.89
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 $126.53 / $193.87 / $293.37	Professional		$126.53	$193.87	$293.37
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 $146.16 / $201.86 / $354.35	Professional		$146.16	$201.86	$354.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $105.45 / $139.75	Professional		$87.27	$105.45	$139.75