Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.06 / $584.72 / $614.04	Facility		$206.06	$584.72	$614.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $206.06 / $488.36	Professional		$145.72	$206.06	$488.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $267.36 / $582.45 / $1,347.14	Facility		$267.36	$582.45	$1,347.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $192.86 / $259.54 / $1,673.42	Professional		$192.86	$259.54	$1,673.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $185.61	Facility		$185.61	$185.61	$185.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $185.61	Professional		$135.50	$135.50	$185.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $156.97 / $299.20 / $715.31	Facility		$156.97	$299.20	$715.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $292.55 / $528.77	Professional		$157.13	$292.55	$528.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $234.07 / $257.47	Professional		$210.66	$234.07	$257.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.36 / $274.81 / $305.33	Facility		$242.36	$274.81	$305.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $260.23 / $305.33 / $305.33	Professional		$260.23	$305.33	$305.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.36 / $342.91 / $596.36	Facility		$267.36	$342.91	$596.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $290.62 / $298.18 / $298.18	Facility		$290.62	$298.18	$298.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.56 / $259.54 / $335.87	Professional		$242.56	$259.54	$335.87
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $124.72 / $237.56	Professional		$115.13	$124.72	$237.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $48.92 / $150.94	Professional		$48.92	$48.92	$150.94