Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.75 / $276.98 / $507.15	Facility		$252.75	$276.98	$507.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $246.26 / $295.02	Professional		$243.71	$246.26	$295.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $354.71 / $1,200.70	Facility		$233.26	$354.71	$1,200.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $268.08 / $1,059.88	Professional		$243.71	$268.08	$1,059.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.92 / $240.06 / $480.28	Facility		$229.92	$240.06	$480.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $298.89	Professional		$243.71	$243.71	$298.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $220.85 / $334.74 / $615.79	Facility		$220.85	$334.74	$615.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.33 / $328.94 / $568.79	Professional		$230.33	$328.94	$568.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $75.00	Professional		$30.00	$60.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.47 / $243.71 / $417.01	Facility		$236.47	$243.71	$417.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.93 / $358.35 / $653.12	Facility		$209.93	$358.35	$653.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $305.75 / $552.61	Professional		$253.65	$305.75	$552.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $236.47 / $283.66 / $526.50	Facility		$236.47	$283.66	$526.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $268.08 / $292.45	Professional		$243.71	$268.08	$292.45
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $292.45	Professional		$243.71	$243.71	$292.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $243.71 / $243.71	Professional		$240.06	$243.71	$243.71