Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $276.14 / $288.31	Facility		$121.65	$276.14	$288.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $121.65 / $288.31	Professional		$75.70	$121.65	$288.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $157.84 / $343.28 / $701.53	Facility		$157.84	$343.28	$701.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $153.22 / $892.29	Professional		$105.94	$153.22	$892.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $112.36	Professional		$82.02	$82.02	$112.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $171.25 / $387.18	Facility		$85.08	$171.25	$387.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $171.25 / $287.14	Professional		$85.17	$171.25	$287.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $138.19 / $152.00	Professional		$124.37	$138.19	$152.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.03 / $155.19 / $180.26	Facility		$132.03	$155.19	$180.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $171.25 / $187.47	Professional		$135.19	$171.25	$187.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.84 / $202.45 / $352.08	Facility		$157.84	$202.45	$352.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.57 / $176.04 / $176.04	Facility		$171.57	$176.04	$176.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $153.22 / $198.29	Professional		$143.19	$153.22	$198.29
United Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $67.45 / $128.68	Professional		$62.36	$67.45	$128.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.04 / $82.80	Professional		$52.04	$52.04	$82.80