Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $185.09 / $297.58	Facility		$120.38	$185.09	$297.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $120.38 / $239.43	Professional		$71.44	$120.38	$239.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $233.78 / $752.40 / $972.00	Facility		$233.78	$752.40	$972.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $238.95 / $842.85	Professional		$127.75	$238.95	$842.85
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 $82.87 / $153.53 / $318.89	Professional		$82.87	$153.53	$318.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.92 / $189.49 / $635.38	Facility		$91.92	$189.49	$635.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $169.83 / $256.93	Professional		$79.78	$169.83	$256.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $108.67 / $185.47	Professional		$18.30	$108.67	$185.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $124.03 / $173.53 / $195.64	Facility		$124.03	$173.53	$195.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $133.44 / $134.09	Facility		$133.44	$133.44	$134.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $226.01 / $273.69	Professional		$143.63	$226.01	$273.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $461.12 / $677.62 / $1,320.55	Facility		$461.12	$677.62	$1,320.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $200.02 / $266.98	Professional		$136.75	$200.02	$266.98
United Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $108.85 / $266.22	Professional		$83.33	$108.85	$266.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $110.45 / $110.45	Professional		$110.45	$110.45	$110.45