Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.71 / $283.08 / $419.58	Facility		$124.71	$283.08	$419.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $124.71 / $295.56	Professional		$84.24	$124.71	$295.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $161.81 / $434.45 / $737.38	Facility		$161.81	$434.45	$737.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $157.07 / $1,373.31	Professional		$107.10	$157.07	$1,373.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Facility		$89.65	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $89.65	Professional		$65.44	$65.44	$89.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $87.36 / $175.55 / $397.50	Facility		$87.36	$175.55	$397.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $175.55 / $293.76	Professional		$87.45	$175.55	$293.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.49 / $141.66 / $155.82	Professional		$127.49	$141.66	$155.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.68 / $165.47 / $184.79	Facility		$146.68	$165.47	$184.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $150.43 / $184.79 / $184.79	Professional		$150.43	$184.79	$184.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.81 / $207.53 / $360.92	Facility		$161.81	$207.53	$360.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $180.46 / $180.46	Facility		$175.89	$180.46	$180.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $157.07 / $203.27	Professional		$146.80	$157.07	$203.27
United Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $69.26 / $131.91	Professional		$63.93	$69.26	$131.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $46.84 / $84.28	Professional		$46.84	$46.84	$84.28