Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.15 / $315.87 / $329.79	Facility		$139.15	$315.87	$329.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $139.15 / $329.79	Professional		$106.90	$139.15	$329.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $516.70 / $980.51	Facility		$180.55	$516.70	$980.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $136.31 / $180.55 / $1,118.57	Professional		$136.31	$180.55	$1,118.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $161.12	Professional		$87.08	$87.08	$161.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.12 / $206.19 / $546.55	Facility		$120.12	$206.19	$546.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $210.31 / $404.64	Professional		$120.25	$210.31	$404.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $158.08 / $173.88	Professional		$142.27	$158.08	$173.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.68 / $190.90 / $206.19	Facility		$163.68	$190.90	$206.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $175.26 / $195.88 / $206.19	Professional		$175.26	$195.88	$206.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $231.56 / $402.72	Facility		$180.55	$231.56	$402.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $196.26 / $201.36 / $201.36	Facility		$196.26	$201.36	$201.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.81 / $175.26 / $226.81	Professional		$163.81	$175.26	$226.81
United Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $95.39 / $181.70	Professional		$88.06	$95.39	$181.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $116.28	Professional		$57.24	$57.24	$116.28