Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $310.88 / $324.57	Facility		$136.94	$310.88	$324.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $136.94 / $324.57	Professional		$121.73	$136.94	$324.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.16 / $336.10 / $1,140.66	Facility		$112.16	$336.10	$1,140.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $176.87 / $812.43	Professional		$98.20	$176.87	$812.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $278.10	Professional		$203.01	$203.01	$278.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.75 / $443.43 / $1,165.15	Facility		$109.75	$443.43	$1,165.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $427.03 / $743.14	Professional		$109.75	$427.03	$743.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.40 / $312.67 / $343.93	Professional		$281.40	$312.67	$343.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $172.17 / $335.07	Facility		$115.53	$172.17	$335.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $324.01 / $324.01 / $324.01	Professional		$324.01	$324.01	$324.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.34 / $173.40 / $224.32	Facility		$95.34	$173.40	$224.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $172.11 / $335.16	Professional		$95.34	$172.11	$335.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.16 / $112.16 / $181.17	Facility		$112.16	$112.16	$181.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $99.36 / $324.01	Professional		$93.29	$99.36	$324.01
United Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $186.23 / $310.39	Professional		$175.30	$186.23	$310.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $187.90 / $239.42	Professional		$187.90	$187.90	$239.42