Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.14 / $529.23 / $552.54	Facility		$233.14	$529.23	$552.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.47 / $233.14 / $529.23	Professional		$193.47	$233.14	$529.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $891.85 / $1,848.60	Facility		$302.51	$891.85	$1,848.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $252.20 / $308.33 / $2,819.48	Professional		$252.20	$308.33	$2,819.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $215.87	Facility		$215.87	$215.87	$215.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $157.59 / $215.87	Professional		$157.59	$157.59	$215.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $217.49 / $367.58 / $946.70	Facility		$217.49	$367.58	$946.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $370.42 / $733.16	Professional		$217.72	$370.42	$733.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.35 / $264.83 / $291.32	Professional		$238.35	$264.83	$291.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.24 / $337.38 / $345.48	Facility		$274.24	$337.38	$345.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $274.45 / $345.48 / $397.30	Professional		$274.45	$345.48	$397.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $387.99 / $674.76	Facility		$302.51	$387.99	$674.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $328.83 / $337.38 / $337.38	Facility		$328.83	$337.38	$337.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $274.45 / $293.66 / $380.03	Professional		$274.45	$293.66	$380.03
United Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $199.20 / $328.83	Professional		$159.36	$199.20	$328.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $90.04 / $210.09	Professional		$90.04	$90.04	$210.09