Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.51 / $509.64 / $532.09	Facility		$224.51	$509.64	$532.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.94 / $224.51 / $532.09	Professional		$192.94	$224.51	$532.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $291.31 / $691.86 / $1,593.03	Facility		$291.31	$691.86	$1,593.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $289.43 / $2,436.60	Professional		$232.88	$289.43	$2,436.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $227.96	Facility		$227.96	$227.96	$227.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $227.96	Professional		$166.41	$166.41	$227.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $201.24 / $336.67 / $870.93	Facility		$201.24	$336.67	$870.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.08 / $339.33 / $645.45	Professional		$202.08	$339.33	$645.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.53 / $255.04 / $280.54	Professional		$229.53	$255.04	$280.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.06 / $324.88 / $344.54	Facility		$264.06	$324.88	$344.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $299.41 / $332.68 / $344.54	Professional		$299.41	$332.68	$344.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.31 / $373.61 / $649.76	Facility		$291.31	$373.61	$649.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.64 / $324.88 / $324.88	Facility		$316.64	$324.88	$324.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $264.29 / $282.77 / $365.95	Professional		$264.29	$282.77	$365.95
United Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $152.15 / $289.80	Professional		$140.44	$152.15	$289.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $788.18 / $788.18	Professional		$185.44	$788.18	$788.18