Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.52 / $584.57 / $610.32	Facility		$257.52	$584.57	$610.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.03 / $257.52 / $610.32	Professional		$199.03	$257.52	$610.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $334.13 / $765.39 / $1,827.68	Facility		$334.13	$765.39	$1,827.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $272.51 / $334.13 / $2,274.67	Professional		$272.51	$334.13	$2,274.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $243.89	Facility		$243.89	$243.89	$243.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $243.89	Professional		$178.04	$178.04	$243.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.40 / $381.58 / $1,017.18	Facility		$223.40	$381.58	$1,017.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.65 / $389.21 / $753.85	Professional		$223.65	$389.21	$753.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.28 / $292.54 / $321.79	Professional		$263.28	$292.54	$321.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.89 / $355.41 / $381.58	Facility		$302.89	$355.41	$381.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $343.42 / $381.58 / $381.58	Professional		$343.42	$381.58	$381.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.13 / $428.54 / $745.28	Facility		$334.13	$428.54	$745.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $363.20 / $372.64 / $372.64	Facility		$363.20	$372.64	$372.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $303.14 / $324.33 / $419.74	Professional		$303.14	$324.33	$419.74
United Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $183.92 / $338.29	Professional		$163.94	$183.92	$338.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $106.16 / $216.46	Professional		$106.16	$106.16	$216.46