Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $342.70 / $357.80	Facility		$150.97	$342.70	$357.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $150.97 / $361.66	Professional		$95.28	$150.97	$361.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $233.33 / $507.43 / $1,247.08	Facility		$233.33	$507.43	$1,247.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $235.33 / $1,327.02	Professional		$179.93	$235.33	$1,327.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $209.38	Professional		$130.22	$130.22	$209.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $271.80 / $484.62	Facility		$166.71	$271.80	$484.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.33 / $278.45 / $508.91	Professional		$168.33	$278.45	$508.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.99 / $251.11 / $282.85	Professional		$225.99	$251.11	$282.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.51 / $260.22 / $266.47	Facility		$211.51	$260.22	$266.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $232.85 / $266.47 / $266.47	Professional		$232.85	$266.47	$266.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.19 / $233.33 / $507.43	Facility		$221.19	$233.33	$507.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.19 / $240.95 / $299.25	Professional		$221.19	$240.95	$299.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $253.63 / $260.22 / $260.22	Facility		$253.63	$260.22	$260.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $226.50 / $293.12	Professional		$179.93	$226.50	$293.12
United Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $179.47 / $228.27	Professional		$119.65	$179.47	$228.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $162.24 / $171.26	Professional		$162.24	$162.24	$171.26