Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.55 / $238.59 / $450.82	Facility		$214.55	$238.59	$450.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $219.07 / $262.26	Professional		$216.90	$219.07	$262.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $201.86 / $309.62 / $1,060.00	Facility		$201.86	$309.62	$1,060.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $238.59 / $936.51	Professional		$216.90	$238.59	$936.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $212.12 / $216.90	Facility		$204.63	$212.12	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $266.01	Professional		$216.90	$216.90	$266.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $188.98 / $276.00 / $523.02	Facility		$188.98	$276.00	$523.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.11 / $270.81 / $476.31	Professional		$207.11	$270.81	$476.31
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 $206.41 / $216.90 / $364.05	Facility		$206.41	$216.90	$364.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.56 / $306.95 / $561.76	Facility		$180.56	$306.95	$561.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $270.14 / $488.27	Professional		$224.12	$270.14	$488.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $206.41 / $245.56 / $459.57	Facility		$206.41	$245.56	$459.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $238.59 / $260.27	Professional		$216.90	$238.59	$260.27
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $260.27	Professional		$216.90	$216.90	$260.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $216.90 / $216.90	Professional		$212.12	$216.90	$216.90