Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.86 / $451.41 / $471.30	Facility		$198.86	$451.41	$471.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $198.86 / $471.30	Professional		$176.77	$198.86	$471.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $258.02 / $586.16 / $1,530.87	Facility		$258.02	$586.16	$1,530.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $215.12 / $273.39 / $1,853.10	Professional		$215.12	$273.39	$1,853.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $174.32	Facility		$174.32	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $174.32	Professional		$127.25	$127.25	$174.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $175.63 / $298.70 / $798.75	Facility		$175.63	$298.70	$798.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $300.57 / $591.66	Professional		$175.82	$300.57	$591.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.31 / $225.91 / $248.50	Professional		$203.31	$225.91	$248.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.91 / $287.77 / $371.96	Facility		$233.91	$287.77	$371.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $265.20 / $294.68 / $371.96	Professional		$265.20	$294.68	$371.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.02 / $330.94 / $575.54	Facility		$258.02	$330.94	$575.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $280.48 / $287.77 / $287.77	Facility		$280.48	$287.77	$287.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.10 / $250.48 / $324.14	Professional		$234.10	$250.48	$324.14
United Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $150.12 / $265.52	Professional		$128.68	$150.12	$265.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $88.47 / $169.99	Professional		$88.47	$88.47	$169.99