Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $265.05 / $526.17	Facility		$139.07	$265.05	$526.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $139.07 / $278.14	Professional		$92.81	$139.07	$278.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $473.69 / $689.38 / $1,348.64	Facility		$473.69	$689.38	$1,348.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $275.77 / $1,114.50	Professional		$164.93	$275.77	$1,114.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $532.62 / $1,161.91	Facility		$89.65	$532.62	$1,161.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $248.93 / $376.94	Professional		$148.83	$248.93	$376.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $130.82 / $258.42 / $679.49	Facility		$130.82	$258.42	$679.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $270.60 / $387.99	Professional		$130.82	$270.60	$387.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $90.82 / $288.46	Professional		$19.39	$90.82	$288.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.05 / $235.17 / $299.08	Facility		$193.05	$235.17	$299.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $160.41 / $161.72	Facility		$160.41	$160.41	$161.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $268.60 / $321.48	Professional		$181.97	$268.60	$321.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $484.26 / $695.39 / $1,340.75	Facility		$484.26	$695.39	$1,340.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $242.89 / $324.64	Professional		$164.93	$242.89	$324.64
United Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $52.98 / $79.92	Facility		$26.94	$52.98	$79.92
United Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $137.65 / $321.83	Professional		$106.75	$137.65	$321.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $127.44 / $127.44	Professional		$127.44	$127.44	$127.44