Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.17 / $583.78 / $609.49	Facility		$257.17	$583.78	$609.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.57 / $257.17 / $609.49	Professional		$170.57	$257.17	$609.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $333.68 / $725.67 / $1,607.39	Facility		$333.68	$725.67	$1,607.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $232.55 / $323.91 / $2,114.42	Professional		$232.55	$323.91	$2,114.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $218.57	Professional		$159.56	$159.56	$218.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $189.73 / $362.02 / $862.50	Facility		$189.73	$362.02	$862.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.94 / $362.02 / $638.83	Professional		$189.94	$362.02	$638.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.91 / $292.13 / $321.34	Professional		$262.91	$292.13	$321.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.45 / $335.05 / $381.07	Facility		$297.45	$335.05	$381.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $342.96 / $381.07	Professional		$304.58	$342.96	$381.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.68 / $427.96 / $744.28	Facility		$333.68	$427.96	$744.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $362.71 / $372.14 / $372.14	Facility		$362.71	$372.14	$372.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.73 / $323.91 / $419.18	Professional		$302.73	$323.91	$419.18
United Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $173.71 / $286.76	Professional		$138.97	$173.71	$286.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $147.80 / $183.50	Professional		$147.80	$147.80	$183.50