Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.87 / $410.58 / $428.66	Facility		$180.87	$410.58	$428.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $180.87 / $428.66	Professional		$140.69	$180.87	$428.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $234.69 / $674.17 / $1,236.41	Facility		$234.69	$674.17	$1,236.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $230.50 / $2,131.11	Professional		$180.55	$230.50	$2,131.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $166.23	Professional		$121.35	$121.35	$166.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.60 / $268.02 / $661.87	Facility		$145.60	$268.02	$661.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.76 / $266.82 / $491.53	Professional		$145.76	$266.82	$491.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.91 / $205.46 / $226.00	Professional		$184.91	$205.46	$226.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $251.25 / $268.02	Facility		$212.73	$251.25	$268.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $241.22 / $268.02 / $268.02	Professional		$241.22	$268.02	$268.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.69 / $301.00 / $523.48	Facility		$234.69	$301.00	$523.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $255.11 / $261.74 / $261.74	Facility		$255.11	$261.74	$261.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.91 / $227.82 / $294.82	Professional		$212.91	$227.82	$294.82
United Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $115.62 / $220.23	Professional		$106.72	$115.62	$220.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $88.47 / $137.22	Professional		$88.47	$88.47	$137.22