Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.77 / $299.12 / $312.30	Facility		$131.77	$299.12	$312.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $131.77 / $312.30	Professional		$113.73	$131.77	$312.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $170.98 / $376.77 / $878.76	Facility		$170.98	$376.77	$878.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $169.88 / $1,011.39	Professional		$120.42	$169.88	$1,011.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $120.06	Professional		$87.64	$87.64	$120.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $106.92 / $195.27 / $485.62	Facility		$106.92	$195.27	$485.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $195.27 / $359.96	Professional		$107.04	$195.27	$359.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $149.69 / $164.65	Professional		$134.72	$149.69	$164.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $190.69 / $203.09	Facility		$155.00	$190.69	$203.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $195.27 / $203.09	Professional		$155.12	$195.27	$203.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.98 / $219.29 / $381.38	Facility		$170.98	$219.29	$381.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $185.86 / $190.69 / $190.69	Facility		$185.86	$190.69	$190.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $165.98 / $214.80	Professional		$155.12	$165.98	$214.80
United Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $84.75 / $161.44	Professional		$78.23	$84.75	$161.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $46.84 / $99.32	Professional		$46.84	$46.84	$99.32