Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.09 / $377.02 / $393.63	Facility		$166.09	$377.02	$393.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $166.09 / $393.63	Professional		$147.63	$166.09	$393.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $125.80 / $408.85 / $1,271.08	Facility		$125.80	$408.85	$1,271.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $210.70 / $1,058.75	Professional		$110.13	$210.70	$1,058.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $312.30	Facility		$312.30	$312.30	$312.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $227.98 / $312.30	Professional		$227.98	$227.98	$312.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $123.09 / $505.03 / $1,518.44	Facility		$123.09	$505.03	$1,518.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $498.77 / $838.23	Professional		$123.09	$498.77	$838.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $366.72 / $407.47 / $448.21	Professional		$366.72	$407.47	$448.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.57 / $193.09 / $412.84	Facility		$129.57	$193.09	$412.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $422.25 / $422.25	Professional		$422.25	$422.25	$422.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.93 / $210.70 / $251.60	Facility		$106.93	$210.70	$251.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $206.49 / $408.52	Professional		$106.93	$206.49	$408.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.80 / $125.80 / $220.82	Facility		$125.80	$125.80	$220.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $111.43 / $422.25	Professional		$104.62	$111.43	$422.25
United Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $217.82 / $349.98	Professional		$197.66	$217.82	$349.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.85 / $213.85 / $266.83	Professional		$213.85	$213.85	$266.83