Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.25 / $515.86 / $538.58	Facility		$227.25	$515.86	$538.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $227.25 / $538.58	Professional		$161.13	$227.25	$538.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $294.86 / $778.79 / $1,533.12	Facility		$294.86	$778.79	$1,533.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $227.68 / $286.22 / $2,110.67	Professional		$227.68	$286.22	$2,110.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $225.30	Professional		$164.47	$164.47	$225.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.09 / $336.73 / $824.06	Facility		$181.09	$336.73	$824.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.28 / $331.48 / $610.69	Professional		$181.28	$331.48	$610.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.32 / $258.14 / $283.95	Professional		$232.32	$258.14	$283.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $267.29 / $303.06 / $336.73	Facility		$267.29	$303.06	$336.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $287.73 / $336.73 / $336.73	Professional		$287.73	$336.73	$336.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.86 / $378.17 / $657.68	Facility		$294.86	$378.17	$657.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $320.51 / $328.84 / $328.84	Facility		$320.51	$328.84	$328.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $286.22 / $370.40	Professional		$267.50	$286.22	$370.40
United Facility/Professional Facility Modifier Low / Median / High Price $383.64 / $460.37 / $460.37	Facility		$383.64	$460.37	$460.37
United Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $143.78 / $273.87	Professional		$132.72	$143.78	$273.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $175.24	Professional		$130.10	$130.10	$175.24