Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.94 / $283.61 / $296.11	Facility		$124.94	$283.61	$296.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $124.94 / $296.11	Professional		$97.11	$124.94	$296.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $162.12 / $428.43 / $928.70	Facility		$162.12	$428.43	$928.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $135.15 / $165.80 / $1,217.75	Professional		$135.15	$165.80	$1,217.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $144.01	Facility		$144.01	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $144.01	Professional		$105.13	$105.13	$144.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.20 / $185.63 / $496.87	Facility		$109.20	$185.63	$496.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $188.84 / $368.23	Professional		$109.32	$188.84	$368.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $141.93 / $156.12	Professional		$127.73	$141.93	$156.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.97 / $173.41 / $185.14	Facility		$146.97	$173.41	$185.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $185.14 / $190.75	Professional		$166.63	$185.14	$190.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.12 / $207.92 / $361.60	Facility		$162.12	$207.92	$361.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $176.22 / $180.80 / $180.80	Facility		$176.22	$180.80	$180.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $157.37 / $203.65	Professional		$147.08	$157.37	$203.65
United Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $93.32 / $165.06	Professional		$79.98	$93.32	$165.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $71.81 / $105.61	Professional		$71.81	$71.81	$105.61