Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.49 / $377.25 / $1,603.69	Facility		$243.49	$377.25	$1,603.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $205.71 / $446.20	Professional		$168.29	$205.71	$446.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $295.89 / $823.67 / $1,296.95	Facility		$295.89	$823.67	$1,296.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $242.09 / $413.97 / $1,479.23	Professional		$242.09	$413.97	$1,479.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.27 / $329.03 / $525.30	Professional		$178.27	$329.03	$525.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.96 / $325.64 / $566.25	Facility		$172.96	$325.64	$566.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $317.23 / $476.01	Professional		$171.12	$317.23	$476.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $273.32 / $464.06	Professional		$46.03	$273.32	$464.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.49 / $314.95 / $360.40	Facility		$250.49	$314.95	$360.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.79 / $230.79 / $237.37	Facility		$230.79	$230.79	$237.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $387.76 / $480.76	Professional		$246.93	$387.76	$480.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $670.87 / $959.75 / $1,835.89	Facility		$670.87	$959.75	$1,835.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.09 / $335.02 / $438.40	Professional		$242.09	$335.02	$438.40
United Facility/Professional Professional Modifier Low / Median / High Price $179.17 / $277.68 / $488.55	Professional		$179.17	$277.68	$488.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $187.26 / $187.26	Professional		$132.51	$187.26	$187.26