Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.25 / $236.65 / $247.07	Facility		$104.25	$236.65	$247.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $92.66 / $155.38	Professional		$74.48	$92.66	$155.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $346.40 / $749.92	Facility		$135.26	$346.40	$749.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $134.38 / $860.74	Professional		$108.13	$134.38	$860.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $141.93	Facility		$115.38	$115.38	$141.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $141.93	Professional		$84.23	$84.23	$141.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $157.56 / $409.68	Facility		$94.64	$157.56	$409.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $158.34 / $303.69	Professional		$95.04	$158.34	$303.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.57 / $118.42 / $130.26	Professional		$106.57	$118.42	$130.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.61 / $148.58 / $154.47	Facility		$122.61	$148.58	$154.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $148.58 / $154.47	Professional		$139.02	$148.58	$154.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $173.48 / $301.70	Facility		$135.26	$173.48	$301.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.03 / $150.85 / $150.85	Facility		$147.03	$150.85	$150.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $131.30 / $169.92	Professional		$122.71	$131.30	$169.92
United Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $76.97 / $136.13	Professional		$65.98	$76.97	$136.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $85.77	Professional		$46.32	$46.32	$85.77