Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.03 / $399.59 / $417.19	Facility		$176.03	$399.59	$417.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $176.03 / $304.52	Professional		$156.47	$176.03	$304.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $228.40 / $603.16 / $1,353.88	Facility		$228.40	$603.16	$1,353.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $190.41 / $233.05 / $1,463.77	Professional		$190.41	$233.05	$1,463.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $190.78	Professional		$139.27	$139.27	$190.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $277.60 / $714.74	Facility		$164.25	$277.60	$714.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $279.29 / $553.59	Professional		$164.43	$279.29	$553.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $199.96 / $219.95	Professional		$179.96	$199.96	$219.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.04 / $254.73 / $293.93	Facility		$207.04	$254.73	$293.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $260.83 / $293.93	Professional		$221.71	$260.83	$293.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.40 / $292.94 / $509.46	Facility		$228.40	$292.94	$509.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $248.27 / $254.73 / $254.73	Facility		$248.27	$254.73	$254.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $221.71 / $286.92	Professional		$207.21	$221.71	$286.92
United Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $130.13 / $248.27	Professional		$120.31	$130.13	$248.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $124.90 / $157.80	Professional		$124.90	$124.90	$157.80