Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.62 / $1,587.79 / $1,896.54	Facility		$241.62	$1,587.79	$1,896.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $174.06 / $241.62	Professional		$157.46	$174.06	$241.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $285.27 / $1,054.03 / $1,296.95	Facility		$285.27	$1,054.03	$1,296.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $250.40 / $448.13 / $1,659.30	Professional		$250.40	$448.13	$1,659.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $178.56 / $325.64 / $571.52	Facility		$178.56	$325.64	$571.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $297.85 / $465.59	Professional		$164.36	$297.85	$465.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $75.00	Professional		$30.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.50 / $160.01 / $175.03	Facility		$133.50	$160.01	$175.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.53 / $245.53 / $260.49	Facility		$245.53	$245.53	$260.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.25 / $433.71 / $523.49	Professional		$275.25	$433.71	$523.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $700.31 / $959.75 / $1,835.89	Facility		$700.31	$959.75	$1,835.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $250.40 / $364.97 / $473.10	Professional		$250.40	$364.97	$473.10
United Facility/Professional Professional Modifier Low / Median / High Price $186.04 / $328.20 / $491.79	Professional		$186.04	$328.20	$491.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $134.15 / $134.15	Professional		$134.15	$134.15	$134.15