Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $473.41 / $494.26	Facility		$208.55	$473.41	$494.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $208.55 / $494.26	Professional		$161.94	$208.55	$494.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $270.60 / $917.07 / $1,641.93	Facility		$270.60	$917.07	$1,641.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $270.60 / $2,898.90	Professional		$225.59	$270.60	$2,898.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $180.71	Facility		$180.71	$180.71	$180.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $180.71	Professional		$131.91	$131.91	$180.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $309.67 / $828.75	Facility		$182.00	$309.67	$828.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.20 / $315.20 / $613.16	Professional		$182.20	$315.20	$613.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.21 / $236.91 / $260.60	Professional		$213.21	$236.91	$260.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.31 / $289.20 / $309.02	Facility		$245.31	$289.20	$309.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $293.58 / $309.02	Professional		$278.13	$293.58	$309.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.60 / $347.06 / $603.58	Facility		$270.60	$347.06	$603.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $294.14 / $301.79 / $301.79	Facility		$294.14	$301.79	$301.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.50 / $262.68 / $339.93	Professional		$245.50	$262.68	$339.93
United Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $155.63 / $275.27	Professional		$135.81	$155.63	$275.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $70.78 / $172.61	Professional		$70.78	$70.78	$172.61