Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.69 / $321.66 / $335.83	Facility		$141.69	$321.66	$335.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $141.69 / $335.83	Professional		$125.96	$141.69	$335.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $183.86 / $438.24 / $1,100.50	Facility		$183.86	$438.24	$1,100.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $153.28 / $205.77 / $1,394.20	Professional		$153.28	$205.77	$1,394.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $139.66	Facility		$139.66	$139.66	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $139.66	Professional		$101.95	$101.95	$139.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $223.01 / $575.39	Facility		$131.94	$223.01	$575.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.09 / $225.29 / $446.02	Professional		$132.09	$225.29	$446.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.87 / $160.97 / $177.06	Professional		$144.87	$160.97	$177.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $205.05 / $279.95	Facility		$166.68	$205.05	$279.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $209.97 / $279.95	Professional		$166.81	$209.97	$279.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.86 / $235.81 / $410.10	Facility		$183.86	$235.81	$410.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $199.85 / $205.05 / $205.05	Facility		$199.85	$205.05	$205.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $178.47 / $230.97	Professional		$166.81	$178.47	$230.97
United Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $104.92 / $199.85	Professional		$96.85	$104.92	$199.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $93.67 / $126.11	Professional		$93.67	$93.67	$126.11