Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.08 / $615.35 / $642.46	Facility		$271.08	$615.35	$642.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.95 / $271.08 / $642.46	Professional		$224.95	$271.08	$642.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $351.74 / $936.47 / $2,126.12	Facility		$351.74	$936.47	$2,126.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $293.23 / $392.28 / $2,960.55	Professional		$293.23	$392.28	$2,960.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Facility		$251.00	$251.00	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $251.00	Professional		$183.23	$183.23	$251.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $252.52 / $426.79 / $1,100.73	Facility		$252.52	$426.79	$1,100.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $430.33 / $852.32	Professional		$252.80	$430.33	$852.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.14 / $307.94 / $338.73	Professional		$277.14	$307.94	$338.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $318.85 / $392.28 / $401.69	Facility		$318.85	$392.28	$401.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $361.52 / $401.69 / $441.86	Professional		$361.52	$401.69	$441.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.74 / $451.12 / $784.56	Facility		$351.74	$451.12	$784.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $382.34 / $392.28 / $392.28	Facility		$382.34	$392.28	$392.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $319.11 / $341.44 / $441.86	Professional		$319.11	$341.44	$441.86
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $185.29 / $216.17 / $382.34	Professional		$185.29	$216.17	$382.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.33 / $161.33 / $235.22	Professional		$161.33	$161.33	$235.22