Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.51 / $423.38 / $442.03	Facility		$186.51	$423.38	$442.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.79 / $186.51 / $442.03	Professional		$165.79	$186.51	$442.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $701.43 / $1,428.20	Facility		$242.00	$701.43	$1,428.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $264.70 / $2,217.51	Professional		$198.53	$264.70	$2,217.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $165.40	Facility		$165.40	$165.40	$165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $165.40	Professional		$120.74	$120.74	$165.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $166.53 / $283.51 / $757.38	Facility		$166.53	$283.51	$757.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $283.51 / $561.04	Professional		$166.71	$283.51	$561.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $211.88 / $233.06	Professional		$190.69	$211.88	$233.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.39 / $269.89 / $352.93	Facility		$219.39	$269.89	$352.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $234.91 / $276.37 / $352.93	Professional		$234.91	$276.37	$352.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $310.37 / $539.78	Facility		$242.00	$310.37	$539.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $269.89 / $269.89	Facility		$263.05	$269.89	$269.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $219.56 / $234.91 / $304.01	Professional		$219.56	$234.91	$304.01
United Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $132.28 / $251.95	Professional		$122.10	$132.28	$251.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $93.67 / $156.19	Professional		$93.67	$93.67	$156.19