Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.41 / $345.97 / $361.21	Facility		$152.41	$345.97	$361.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $152.41 / $361.21	Professional		$135.47	$152.41	$361.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $197.75 / $1,069.63 / $1,262.20	Facility		$197.75	$1,069.63	$1,262.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $197.75 / $3,381.35	Professional		$164.86	$197.75	$3,381.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $142.94	Professional		$103.02	$103.02	$142.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.96 / $239.92 / $618.86	Facility		$141.96	$239.92	$618.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $242.17 / $479.12	Professional		$142.11	$242.17	$479.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $173.13 / $190.44	Professional		$155.81	$173.13	$190.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.26 / $220.54 / $258.24	Facility		$179.26	$220.54	$258.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $203.26 / $225.84 / $258.24	Professional		$203.26	$225.84	$258.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.75 / $253.62 / $441.08	Facility		$197.75	$253.62	$441.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $220.54 / $220.54	Facility		$214.95	$220.54	$220.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $191.96 / $248.42	Professional		$179.41	$191.96	$248.42
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $112.85 / $214.95	Professional		$104.17	$112.85	$214.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $72.86 / $134.43	Professional		$72.86	$72.86	$134.43