Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.84 / $337.87 / $352.75	Facility		$148.84	$337.87	$352.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $148.84 / $352.75	Professional		$125.17	$148.84	$352.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $193.12 / $419.99 / $947.19	Facility		$193.12	$419.99	$947.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $191.42 / $1,138.23	Professional		$140.52	$191.42	$1,138.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $116.53	Professional		$85.07	$85.07	$116.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $215.91 / $571.16	Facility		$119.08	$215.91	$571.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $215.91 / $382.30	Professional		$119.52	$215.91	$382.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $169.07 / $185.97	Professional		$152.16	$169.07	$185.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.05 / $215.38 / $228.56	Facility		$175.05	$215.38	$228.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $198.50 / $220.55 / $228.56	Professional		$198.50	$220.55	$228.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.12 / $247.69 / $430.76	Facility		$193.12	$247.69	$430.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $215.38 / $215.38	Facility		$209.92	$215.38	$215.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $187.47 / $242.61	Professional		$175.20	$187.47	$242.61
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $96.94 / $171.46	Professional		$83.09	$96.94	$171.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $120.73 / $120.73	Professional		$109.55	$120.73	$120.73