Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.84 / $453.64 / $473.62	Facility		$199.84	$453.64	$473.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $199.84 / $345.72	Professional		$139.21	$199.84	$345.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $259.30 / $563.91 / $1,226.72	Facility		$259.30	$563.91	$1,226.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $182.49 / $251.71 / $1,483.54	Professional		$182.49	$251.71	$1,483.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $147.11	Professional		$105.73	$105.73	$147.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $146.05 / $281.32 / $664.68	Facility		$146.05	$281.32	$664.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.21 / $281.32 / $492.36	Professional		$146.21	$281.32	$492.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $227.01 / $249.71	Professional		$204.30	$227.01	$249.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $235.05 / $289.19 / $296.13	Facility		$235.05	$289.19	$296.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $296.13 / $302.05	Professional		$266.52	$296.13	$302.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.30 / $332.57 / $578.38	Facility		$259.30	$332.57	$578.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $281.86 / $289.19 / $289.19	Facility		$281.86	$289.19	$289.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.24 / $251.71 / $325.74	Professional		$235.24	$251.71	$325.74
United Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $115.83 / $220.63	Professional		$106.92	$115.83	$220.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $72.86 / $139.22	Professional		$72.86	$72.86	$139.22