Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.23 / $262.50 / $472.37	Facility		$229.23	$262.50	$472.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $229.55 / $275.24	Professional		$227.28	$229.55	$275.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $210.45 / $323.25 / $1,108.55	Facility		$210.45	$323.25	$1,108.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $250.01 / $9,490.31	Professional		$227.28	$250.01	$9,490.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $224.09 / $543.41	Facility		$214.41	$224.09	$543.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $278.74	Professional		$227.28	$227.28	$278.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.25 / $236.00 / $543.04	Facility		$187.25	$236.00	$543.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $236.00 / $460.86	Professional		$178.20	$236.00	$460.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $243.88 / $299.30	Professional		$75.00	$243.88	$299.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $257.29 / $472.74	Facility		$227.10	$257.29	$472.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.41 / $321.99 / $589.27	Facility		$189.41	$321.99	$589.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.77 / $285.39 / $515.84	Professional		$236.77	$285.39	$515.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $215.50 / $257.54 / $431.00	Facility		$215.50	$257.54	$431.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $250.01 / $272.73	Professional		$227.28	$250.01	$272.73
United Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Facility		$227.28	$227.28	$227.28
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $272.74	Professional		$227.28	$227.28	$272.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.09 / $227.28 / $227.28	Professional		$224.09	$227.28	$227.28