Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.47 / $317.67 / $408.91	Facility		$263.47	$317.67	$408.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $263.47 / $408.91	Professional		$152.16	$263.47	$408.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $287.07 / $319.20 / $763.83	Facility		$287.07	$319.20	$763.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $387.51 / $1,279.19	Professional		$235.31	$387.51	$1,279.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.11 / $348.13 / $525.14	Professional		$219.11	$348.13	$525.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $219.96 / $413.22 / $586.58	Facility		$219.96	$413.22	$586.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.03 / $416.42 / $581.73	Professional		$229.03	$416.42	$581.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $108.82 / $293.91	Professional		$21.52	$108.82	$293.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.44 / $244.08 / $419.42	Facility		$203.44	$244.08	$419.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.60 / $195.60 / $268.18	Facility		$195.60	$195.60	$268.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.47 / $375.65 / $496.84	Professional		$255.47	$375.65	$496.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $218.06	Facility		$218.06	$218.06	$218.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $259.37 / $306.88 / $461.64	Professional		$259.37	$306.88	$461.64
United Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $229.72 / $534.73	Professional		$187.12	$229.72	$534.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Professional		$140.55	$140.55	$140.55