Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.71 / $560.03 / $584.70	Facility		$246.71	$560.03	$584.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.94 / $246.71 / $584.70	Professional		$188.94	$246.71	$584.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $320.11 / $702.93 / $1,743.72	Facility		$320.11	$702.93	$1,743.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $215.39 / $310.74 / $2,159.38	Professional		$215.39	$310.74	$2,159.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $218.27	Facility		$218.27	$218.27	$218.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $159.34 / $218.27	Professional		$159.34	$159.34	$218.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $212.48 / $365.58 / $966.56	Facility		$212.48	$365.58	$966.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.71 / $372.89 / $715.78	Professional		$212.71	$372.89	$715.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.23 / $280.26 / $308.28	Professional		$252.23	$280.26	$308.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.20 / $337.40 / $365.58	Facility		$290.20	$337.40	$365.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $290.43 / $365.58 / $365.58	Professional		$290.43	$365.58	$365.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.11 / $410.56 / $714.02	Facility		$320.11	$410.56	$714.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $347.96 / $357.01 / $357.01	Facility		$347.96	$357.01	$357.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $290.43 / $310.74 / $402.14	Professional		$290.43	$310.74	$402.14
United Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $168.32 / $321.14	Professional		$155.63	$168.32	$321.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.57 / $309.12 / $309.12	Professional		$205.57	$309.12	$309.12