Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.71 / $394.32 / $411.69	Facility		$173.71	$394.32	$411.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.54 / $173.71 / $411.69	Professional		$145.54	$173.71	$411.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $225.40 / $494.81 / $1,059.51	Facility		$225.40	$494.81	$1,059.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $142.01 / $218.80 / $1,294.30	Professional		$142.01	$218.80	$1,294.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $154.28	Professional		$104.35	$104.35	$154.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $126.03 / $244.54 / $572.80	Facility		$126.03	$244.54	$572.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $244.54 / $424.50	Professional		$126.17	$244.54	$424.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $197.32 / $217.05	Professional		$177.58	$197.32	$217.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.33 / $251.38 / $259.89	Facility		$204.33	$251.38	$259.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $204.48 / $257.41 / $283.14	Professional		$204.48	$257.41	$283.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.40 / $289.08 / $502.76	Facility		$225.40	$289.08	$502.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.01 / $251.38 / $251.38	Facility		$245.01	$251.38	$251.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.48 / $218.80 / $283.14	Professional		$204.48	$218.80	$283.14
United Facility/Professional Professional Modifier Low / Median / High Price $92.26 / $99.79 / $190.39	Professional		$92.26	$99.79	$190.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $104.08 / $119.68	Professional		$104.08	$104.08	$119.68