Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.94 / $273.35 / $516.88	Facility		$248.94	$273.35	$516.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $250.98 / $301.18	Professional		$248.50	$250.98	$301.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $234.17 / $357.80 / $1,218.15	Facility		$234.17	$357.80	$1,218.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $273.35 / $1,074.29	Professional		$248.50	$273.35	$1,074.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $243.32 / $487.26	Facility		$234.43	$243.32	$487.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $304.76	Professional		$248.50	$248.50	$304.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.39 / $298.67 / $588.41	Facility		$216.39	$298.67	$588.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $295.57 / $532.34	Professional		$218.72	$295.57	$532.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $267.99 / $328.90	Professional		$70.00	$267.99	$328.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $281.32 / $745.50	Facility		$248.50	$281.32	$745.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.75 / $358.27 / $655.66	Facility		$210.75	$358.27	$655.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $309.88 / $560.08	Professional		$257.08	$309.88	$560.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $238.53 / $283.39 / $500.17	Facility		$238.53	$283.39	$500.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $273.35 / $298.20	Professional		$248.50	$273.35	$298.20
United Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $248.34 / $248.34	Facility		$248.34	$248.34	$248.34
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $298.20	Professional		$248.50	$248.50	$298.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.32 / $248.50 / $248.50	Professional		$243.32	$248.50	$248.50