Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.48 / $226.23 / $676.20	Facility		$127.48	$226.23	$676.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $127.02 / $266.50	Professional		$90.43	$127.02	$266.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $237.98 / $354.83 / $1,012.16	Facility		$237.98	$354.83	$1,012.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $138.52 / $255.95 / $927.00	Professional		$138.52	$255.95	$927.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.44 / $373.15 / $498.80	Facility		$234.44	$373.15	$498.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $187.61 / $347.55	Professional		$95.04	$187.61	$347.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.42 / $196.47 / $322.43	Facility		$102.42	$196.47	$322.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $197.92 / $285.00	Professional		$99.20	$197.92	$285.00
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 $132.30 / $194.30 / $215.74	Facility		$132.30	$194.30	$215.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.96 / $144.96 / $147.15	Facility		$144.96	$144.96	$147.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $245.77 / $301.81	Professional		$158.88	$245.77	$301.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $206.18 / $304.02 / $592.49	Facility		$206.18	$304.02	$592.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $220.57 / $289.22	Professional		$147.84	$220.57	$289.22
United Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $120.41 / $286.58	Professional		$94.39	$120.41	$286.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $121.96 / $121.96	Professional		$121.96	$121.96	$121.96