Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.07 / $304.33 / $317.75	Facility		$134.07	$304.33	$317.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $134.07 / $317.75	Professional		$119.17	$134.07	$317.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $173.96 / $390.11 / $1,000.92	Facility		$173.96	$390.11	$1,000.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $177.31 / $1,276.03	Professional		$144.13	$177.31	$1,276.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $124.31	Facility		$124.31	$124.31	$124.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $124.31	Professional		$90.75	$90.75	$124.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.03 / $205.88 / $544.42	Facility		$121.03	$205.88	$544.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $205.88 / $407.95	Professional		$121.16	$205.88	$407.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $152.31 / $167.54	Professional		$137.07	$152.31	$167.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $194.01 / $256.23	Facility		$157.71	$194.01	$256.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $198.67 / $256.23	Professional		$178.80	$198.67	$256.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.96 / $223.11 / $388.02	Facility		$173.96	$223.11	$388.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $189.09 / $194.01 / $194.01	Facility		$189.09	$194.01	$194.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $168.87 / $218.54	Professional		$157.83	$168.87	$218.54
United Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $96.03 / $182.91	Professional		$88.64	$96.03	$182.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $72.86 / $117.05	Professional		$72.86	$72.86	$117.05