Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.07 / $270.29 / $282.20	Facility		$119.07	$270.29	$282.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $119.07 / $270.29	Professional		$98.81	$119.07	$270.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $382.27 / $928.37	Facility		$154.50	$382.27	$928.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $153.51 / $1,164.54	Professional		$127.48	$153.51	$1,164.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Facility		$121.82	$121.82	$121.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $121.82	Professional		$88.93	$88.93	$121.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $116.48 / $189.01 / $483.52	Facility		$116.48	$189.01	$483.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $190.08 / $374.85	Professional		$117.12	$190.08	$374.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $135.26 / $148.78	Professional		$121.73	$135.26	$148.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.06 / $172.31 / $176.45	Facility		$140.06	$172.31	$176.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $176.45 / $176.45	Professional		$158.81	$176.45	$176.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $198.16 / $344.62	Facility		$154.50	$198.16	$344.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $167.94 / $172.31 / $172.31	Facility		$167.94	$172.31	$172.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $149.97 / $194.10	Professional		$140.16	$149.97	$194.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $88.03 / $167.94	Professional		$81.39	$88.03	$167.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $93.67 / $105.98	Professional		$93.67	$93.67	$105.98