Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.27 / $406.94 / $424.87	Facility		$179.27	$406.94	$424.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $179.27 / $424.87	Professional		$121.22	$179.27	$424.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $194.53 / $519.58 / $1,096.95	Facility		$194.53	$519.58	$1,096.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $157.81 / $210.39 / $1,674.36	Professional		$157.81	$210.39	$1,674.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $214.95	Professional		$156.91	$156.91	$214.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $183.68 / $339.11 / $694.63	Facility		$183.68	$339.11	$694.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.68 / $344.51 / $646.28	Professional		$183.68	$344.51	$646.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $277.60 / $305.36	Professional		$249.84	$277.60	$305.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.37 / $260.48 / $303.51	Facility		$200.37	$260.48	$303.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $200.37 / $303.51	Professional		$200.37	$200.37	$303.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.17 / $225.17 / $427.97	Facility		$225.17	$225.17	$427.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.53 / $194.53 / $232.07	Facility		$194.53	$194.53	$232.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $172.32 / $287.67	Professional		$161.79	$172.32	$287.67
United Facility/Professional Professional Modifier Low / Median / High Price $149.58 / $174.51 / $269.63	Professional		$149.58	$174.51	$269.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $144.66 / $197.68	Professional		$144.66	$144.66	$197.68