Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.17 / $296.17 / $296.17	Facility		$296.17	$296.17	$296.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.99 / $241.04 / $297.50	Professional		$148.99	$241.04	$297.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $437.25 / $650.89 / $968.41	Facility		$437.25	$650.89	$968.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $232.61 / $1,272.00	Professional		$133.97	$232.61	$1,272.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.81 / $831.68 / $1,010.26	Facility		$475.81	$831.68	$1,010.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $186.76 / $301.08	Professional		$104.52	$186.76	$301.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $161.32 / $291.42	Facility		$65.28	$161.32	$291.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $145.69 / $250.60	Professional		$65.06	$145.69	$250.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $56.85 / $82.48	Professional		$21.43	$56.85	$82.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $40.42 / $179.65	Facility		$32.34	$40.42	$179.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.37 / $131.37 / $133.90	Facility		$131.37	$131.37	$133.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.46 / $224.47 / $270.93	Professional		$142.46	$224.47	$270.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.45 / $677.62 / $1,320.55	Facility		$446.45	$677.62	$1,320.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $192.62 / $255.46	Professional		$133.97	$192.62	$255.46
United Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $275.73 / $666.07	Professional		$125.08	$275.73	$666.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $45.76 / $216.99	Professional		$45.76	$45.76	$216.99