Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.14 / $513.34 / $535.95	Facility		$226.14	$513.34	$535.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.60 / $226.14 / $535.95	Professional		$185.60	$226.14	$535.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $293.42 / $697.83 / $1,586.19	Facility		$293.42	$697.83	$1,586.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $237.79 / $293.42 / $1,931.89	Professional		$237.79	$293.42	$1,931.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $189.91	Facility		$189.91	$189.91	$189.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $217.59	Professional		$138.63	$138.63	$217.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $191.10 / $335.09 / $870.00	Facility		$191.10	$335.09	$870.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.31 / $335.87 / $644.62	Professional		$191.31	$335.87	$644.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.17 / $256.86 / $282.54	Professional		$231.17	$256.86	$282.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $265.95 / $327.24 / $335.09	Facility		$265.95	$327.24	$335.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $265.95 / $335.09 / $335.09	Professional		$265.95	$335.09	$335.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.42 / $376.33 / $654.48	Facility		$293.42	$376.33	$654.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $318.95 / $327.24 / $327.24	Facility		$318.95	$327.24	$327.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $266.18 / $284.83 / $368.60	Professional		$266.18	$284.83	$368.60
United Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $163.56 / $289.27	Professional		$142.72	$163.56	$289.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $202.96 / $202.96	Professional		$185.10	$202.96	$202.96