Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.11 / $542.78 / $566.69	Facility		$239.11	$542.78	$566.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $239.11 / $566.69	Professional		$168.68	$239.11	$566.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $310.26 / $711.56 / $1,633.27	Facility		$310.26	$711.56	$1,633.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $240.53 / $307.54 / $2,249.42	Professional		$240.53	$307.54	$2,249.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $188.22	Professional		$137.40	$137.40	$188.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $189.73 / $354.32 / $862.50	Facility		$189.73	$354.32	$862.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.94 / $346.76 / $638.83	Professional		$189.94	$346.76	$638.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $271.63 / $298.79	Professional		$244.46	$271.63	$298.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $318.89 / $354.32	Facility		$281.25	$318.89	$354.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $281.48 / $318.89 / $354.32	Professional		$281.48	$318.89	$354.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.26 / $397.92 / $692.04	Facility		$310.26	$397.92	$692.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $337.25 / $346.02 / $346.02	Facility		$337.25	$346.02	$346.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.48 / $301.17 / $389.75	Professional		$281.48	$301.17	$389.75
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $150.28 / $286.70	Professional		$138.94	$150.28	$286.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $126.50 / $183.18	Professional		$126.50	$126.50	$183.18