Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.57 / $530.20 / $553.55	Facility		$233.57	$530.20	$553.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $233.57 / $404.08	Professional		$190.25	$233.57	$404.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $303.07 / $719.86 / $1,651.29	Facility		$303.07	$719.86	$1,651.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $246.47 / $302.89 / $1,785.33	Professional		$246.47	$302.89	$1,785.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $224.46	Professional		$144.50	$144.50	$224.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.29 / $346.12 / $907.50	Facility		$199.29	$346.12	$907.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $350.26 / $672.75	Professional		$199.50	$350.26	$672.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.79 / $265.33 / $291.86	Professional		$238.79	$265.33	$291.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.74 / $338.01 / $358.50	Facility		$274.74	$338.01	$358.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $346.12 / $346.12 / $358.50	Professional		$346.12	$346.12	$358.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.07 / $388.71 / $676.02	Facility		$303.07	$388.71	$676.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $329.44 / $338.01 / $338.01	Facility		$329.44	$338.01	$338.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $294.20 / $380.73	Professional		$274.95	$294.20	$380.73
United Facility/Professional Professional Modifier Low / Median / High Price $146.12 / $170.47 / $301.52	Professional		$146.12	$170.47	$301.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.35 / $198.35 / $198.35	Professional		$198.35	$198.35	$198.35