Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.88 / $135.88 / $203.84	Facility		$135.88	$135.88	$203.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $89.76 / $135.88	Professional		$68.40	$89.76	$135.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $179.13 / $502.28 / $1,036.83	Facility		$179.13	$502.28	$1,036.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $265.72 / $981.00	Professional		$96.37	$265.72	$981.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $7.73 / $215.88	Facility		$3.50	$7.73	$215.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $105.51 / $150.54	Professional		$41.59	$105.51	$150.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.87 / $147.26 / $305.52	Facility		$81.87	$147.26	$305.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $145.74 / $287.14	Professional		$81.87	$145.74	$287.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.00 / $75.00	Professional		$40.00	$44.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.15 / $167.14 / $258.00	Facility		$139.15	$167.14	$258.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $313.88 / $502.69 / $944.95	Facility		$313.88	$502.69	$944.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.54 / $220.04 / $289.48	Professional		$157.54	$220.04	$289.48
United Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $51.08 / $121.62	Professional		$34.45	$51.08	$121.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $49.39 / $49.39	Professional		$49.39	$49.39	$49.39