Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.58 / $225.05 / $344.15	Facility		$146.58	$225.05	$344.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $146.58 / $291.89	Professional		$84.64	$146.58	$291.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $260.66 / $572.82 / $994.15	Facility		$260.66	$572.82	$994.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $290.20 / $1,004.18	Professional		$155.13	$290.20	$1,004.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.81 / $831.68 / $1,012.37	Facility		$475.81	$831.68	$1,012.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $187.07 / $379.92	Professional		$100.98	$187.07	$379.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.43 / $221.77 / $635.38	Facility		$108.43	$221.77	$635.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $202.98 / $312.83	Professional		$96.10	$202.98	$312.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $163.00 / $277.62	Professional		$27.45	$163.00	$277.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.61 / $205.77 / $232.49	Facility		$147.61	$205.77	$232.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.58 / $158.58 / $163.53	Facility		$158.58	$158.58	$163.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $270.12 / $328.54	Professional		$174.62	$270.12	$328.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $461.12 / $679.00 / $1,320.55	Facility		$461.12	$679.00	$1,320.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $237.70 / $325.60	Professional		$166.78	$237.70	$325.60
United Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $132.33 / $323.66	Professional		$100.88	$132.33	$323.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $131.25 / $131.25	Professional		$131.25	$131.25	$131.25