Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.97 / $213.97 / $213.97	Facility		$213.97	$213.97	$213.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $213.97 / $325.02	Professional		$167.00	$213.97	$325.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $468.86 / $790.94 / $1,636.80	Facility		$468.86	$790.94	$1,636.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $247.63 / $425.86 / $1,519.05	Professional		$247.63	$425.86	$1,519.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.47 / $543.54 / $945.69	Facility		$255.47	$543.54	$945.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.46 / $380.18 / $580.50	Professional		$241.46	$380.18	$580.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.32 / $408.43 / $600.00	Facility		$208.32	$408.43	$600.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $413.11 / $590.02	Professional		$208.32	$413.11	$590.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $278.83 / $334.47 / $475.70	Facility		$278.83	$334.47	$475.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.10 / $238.10 / $242.81	Facility		$238.10	$238.10	$242.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $404.04 / $488.33	Professional		$273.73	$404.04	$488.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $448.92 / $742.57 / $1,448.33	Facility		$448.92	$742.57	$1,448.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $247.63 / $360.53 / $502.99	Professional		$247.63	$360.53	$502.99
United Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $254.07 / $484.11	Professional		$200.03	$254.07	$484.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $292.33 / $292.33	Professional		$292.33	$292.33	$292.33