Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.53 / $291.76 / $506.18	Facility		$128.53	$291.76	$506.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $128.53 / $304.62	Professional		$110.68	$128.53	$304.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $166.77 / $396.15 / $908.81	Facility		$166.77	$396.15	$908.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $165.69 / $984.25	Professional		$123.42	$165.69	$984.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $123.53	Professional		$81.92	$81.92	$123.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $122.14 / $209.01 / $498.75	Facility		$122.14	$209.01	$498.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $201.74 / $369.89	Professional		$122.14	$201.74	$369.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $146.01 / $160.61	Professional		$131.40	$146.01	$160.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $185.99 / $197.64	Facility		$151.19	$185.99	$197.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $190.45 / $201.88	Professional		$161.88	$190.45	$201.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.77 / $213.89 / $371.98	Facility		$166.77	$213.89	$371.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.28 / $185.99 / $185.99	Facility		$181.28	$185.99	$185.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $161.88 / $209.50	Professional		$151.31	$161.88	$209.50
United Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $86.98 / $165.95	Professional		$80.42	$86.98	$165.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $140.63 / $140.63	Professional		$105.27	$140.63	$140.63