Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.40 / $350.49 / $365.93	Facility		$154.40	$350.49	$365.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $154.40 / $365.93	Professional		$104.41	$154.40	$365.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $200.34 / $466.90 / $992.11	Facility		$200.34	$466.90	$992.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $194.47 / $1,193.23	Professional		$148.72	$194.47	$1,193.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $116.51	Facility		$116.51	$116.51	$116.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $145.59	Professional		$85.05	$85.05	$145.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $123.84 / $228.79 / $626.91	Facility		$123.84	$228.79	$626.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $228.79 / $395.54	Professional		$130.82	$228.79	$395.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $175.39 / $192.92	Professional		$157.85	$175.39	$192.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.60 / $205.08 / $228.79	Facility		$181.60	$205.08	$228.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $181.75 / $205.91 / $228.79	Professional		$181.75	$205.91	$228.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.34 / $256.94 / $446.86	Facility		$200.34	$256.94	$446.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $217.77 / $223.43 / $223.43	Facility		$217.77	$223.43	$223.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.75 / $194.47 / $251.67	Professional		$181.75	$194.47	$251.67
United Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $92.18 / $119.10	Facility		$71.67	$92.18	$119.10
United Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $93.17 / $177.46	Professional		$86.00	$93.17	$177.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $111.76 / $111.76	Professional		$111.76	$111.76	$111.76