Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.12 / $456.50 / $945.37	Facility		$200.12	$456.50	$945.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $200.12 / $503.98	Professional		$113.09	$200.12	$503.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $329.02 / $694.41 / $962.78	Facility		$329.02	$694.41	$962.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $218.26 / $400.17 / $1,352.10	Professional		$218.26	$400.17	$1,352.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.80 / $652.41 / $1,010.26	Facility		$262.80	$652.41	$1,010.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $286.70 / $509.51	Professional		$146.33	$286.70	$509.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $146.32 / $275.70 / $530.15	Facility		$146.32	$275.70	$530.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.32 / $278.68 / $434.43	Professional		$146.32	$278.68	$434.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $151.38 / $373.59	Professional		$29.15	$151.38	$373.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.98 / $304.41 / $328.53	Facility		$206.98	$304.41	$328.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.91 / $214.79 / $216.08	Facility		$85.91	$214.79	$216.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $358.38 / $440.53	Professional		$242.80	$358.38	$440.53
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 $220.37 / $311.85 / $422.15	Professional		$220.37	$311.85	$422.15
United Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $175.57 / $431.26	Professional		$131.72	$175.57	$431.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $176.70 / $176.70	Professional		$176.70	$176.70	$176.70