Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.05 / $388.28 / $405.39	Facility		$171.05	$388.28	$405.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $171.05 / $405.39	Professional		$147.02	$171.05	$405.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $221.94 / $527.19 / $1,209.31	Facility		$221.94	$527.19	$1,209.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $221.81 / $1,307.45	Professional		$180.49	$221.81	$1,307.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $168.00	Professional		$122.64	$122.64	$168.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $153.40 / $256.70 / $664.68	Facility		$153.40	$256.70	$664.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $258.52 / $492.36	Professional		$154.08	$258.52	$492.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $194.31 / $213.74	Professional		$174.87	$194.31	$213.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.20 / $247.52 / $262.54	Facility		$201.20	$247.52	$262.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $253.46 / $262.54	Professional		$228.11	$253.46	$262.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.94 / $284.64 / $495.04	Facility		$221.94	$284.64	$495.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $241.25 / $247.52 / $247.52	Facility		$241.25	$247.52	$247.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $215.44 / $278.81	Professional		$201.36	$215.44	$278.81
United Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $120.43 / $220.81	Professional		$107.01	$120.43	$220.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $135.85 / $135.85	Professional		$135.85	$135.85	$135.85