Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.25 / $540.83 / $564.65	Facility		$238.25	$540.83	$564.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $238.25 / $564.65	Professional		$211.77	$238.25	$564.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $309.13 / $832.22 / $1,700.62	Facility		$309.13	$832.22	$1,700.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $247.12 / $317.10 / $2,451.87	Professional		$247.12	$317.10	$2,451.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $268.08	Professional		$195.70	$195.70	$268.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $203.38 / $353.03 / $927.18	Facility		$203.38	$353.03	$927.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $357.46 / $686.82	Professional		$203.60	$357.46	$686.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.56 / $270.63 / $297.69	Professional		$243.56	$270.63	$297.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.23 / $344.76 / $431.42	Facility		$280.23	$344.76	$431.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $317.73 / $353.03 / $431.42	Professional		$317.73	$353.03	$431.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.13 / $396.47 / $689.52	Facility		$309.13	$396.47	$689.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $336.02 / $344.76 / $344.76	Facility		$336.02	$344.76	$344.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $300.08 / $388.33	Professional		$280.45	$300.08	$388.33
United Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $174.12 / $307.97	Professional		$151.94	$174.12	$307.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $121.77 / $192.71	Professional		$121.77	$121.77	$192.71