Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.40 / $223.91 / $1,058.40	Facility		$142.40	$223.91	$1,058.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $108.27 / $254.48	Professional		$88.39	$108.27	$254.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $274.99 / $903.76 / $1,519.87	Facility		$274.99	$903.76	$1,519.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $146.28 / $265.98 / $864.60	Professional		$146.28	$265.98	$864.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.37 / $1,305.29 / $1,796.10	Facility		$894.37	$1,305.29	$1,796.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $183.27 / $326.07	Professional		$98.67	$183.27	$326.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $225.76 / $1,002.46	Facility		$104.30	$225.76	$1,002.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $197.92 / $294.12	Professional		$96.41	$197.92	$294.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $102.70 / $228.88	Professional		$21.52	$102.70	$228.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.77 / $193.81 / $213.06	Facility		$133.77	$193.81	$213.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.10 / $137.10 / $154.47	Facility		$137.10	$137.10	$154.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $245.10 / $304.64	Professional		$172.41	$245.10	$304.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $714.15 / $1,063.50 / $2,072.54	Facility		$714.15	$1,063.50	$2,072.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.54 / $221.86 / $304.92	Professional		$157.54	$221.86	$304.92
United Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $125.59 / $306.33	Professional		$102.37	$125.59	$306.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45