Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.59 / $281.70 / $530.59	Facility		$249.59	$281.70	$530.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $258.64 / $309.17	Professional		$256.08	$258.64	$309.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $231.76 / $362.42 / $1,245.09	Facility		$231.76	$362.42	$1,245.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $281.70 / $1,096.76	Professional		$256.08	$281.70	$1,096.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $248.41 / $498.04	Facility		$241.59	$248.41	$498.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $314.07	Professional		$256.08	$256.08	$314.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $215.22 / $285.02 / $595.78	Facility		$215.22	$285.02	$595.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.75 / $281.95 / $510.49	Professional		$211.75	$281.95	$510.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $273.92 / $336.17	Professional		$75.00	$273.92	$336.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $289.91 / $765.27	Facility		$255.09	$289.91	$765.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.63 / $354.60 / $648.94	Facility		$207.63	$354.60	$648.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.47 / $316.37 / $571.80	Professional		$262.47	$316.37	$571.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $241.61 / $284.04 / $483.22	Facility		$241.61	$284.04	$483.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $281.70 / $307.30	Professional		$256.08	$281.70	$307.30
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $307.31	Professional		$256.08	$256.08	$307.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.41 / $256.08 / $256.08	Professional		$248.41	$256.08	$256.08