Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $494.79 / $916.69	Facility		$217.97	$494.79	$916.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $217.97 / $516.59	Professional		$160.38	$217.97	$516.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $282.82 / $748.46 / $1,435.50	Facility		$282.82	$748.46	$1,435.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $209.84 / $274.54 / $2,366.10	Professional		$209.84	$274.54	$2,366.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $179.74	Professional		$124.80	$124.80	$179.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $322.99 / $782.81	Facility		$171.99	$322.99	$782.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.17 / $315.19 / $580.07	Professional		$172.17	$315.19	$580.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $247.61 / $272.37	Professional		$222.84	$247.61	$272.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.39 / $290.69 / $322.99	Facility		$256.39	$290.69	$322.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $256.39 / $306.83 / $322.99	Professional		$256.39	$306.83	$322.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.82 / $362.73 / $630.84	Facility		$282.82	$362.73	$630.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.43 / $315.42 / $315.42	Facility		$307.43	$315.42	$315.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $256.58 / $274.54 / $355.29	Professional		$256.58	$274.54	$355.29
United Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $136.71 / $260.42	Professional		$126.20	$136.71	$260.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $114.75 / $163.91	Professional		$114.75	$114.75	$163.91