Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $466.85 / $613.04	Facility		$246.23	$466.85	$613.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $166.79 / $246.23	Professional		$112.20	$166.79	$246.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $289.37 / $484.04 / $936.42	Facility		$289.37	$484.04	$936.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.00 / $300.00	Professional		$57.00	$60.00	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $333.21 / $476.01	Facility		$167.59	$333.21	$476.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $98.40 / $98.40	Professional		$98.40	$98.40	$98.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.15 / $395.06 / $950.50	Facility		$133.15	$395.06	$950.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $413.00 / $687.88	Facility		$258.00	$413.00	$687.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $172.12 / $172.12	Professional		$172.12	$172.12	$172.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $483.76 / $920.49	Facility		$298.27	$483.76	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.00 / $60.00	Professional		$57.00	$60.00	$60.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $161.88	Professional		$125.00	$125.00	$161.88