Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $259.69 / $271.13	Facility		$114.40	$259.69	$271.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $114.40 / $114.40	Professional		$64.66	$114.40	$114.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $145.56 / $600.04 / $600.04	Facility		$145.56	$600.04	$600.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $378.87 / $986.85	Professional		$85.54	$378.87	$986.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $139.08	Facility		$139.08	$139.08	$139.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $139.08	Professional		$101.53	$101.53	$139.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $239.24 / $385.95	Facility		$106.33	$239.24	$385.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $225.62 / $310.02	Professional		$106.33	$225.62	$310.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.35 / $268.17 / $536.34	Professional		$241.35	$268.17	$536.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.45 / $223.95 / $287.49	Facility		$186.45	$223.95	$287.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $287.49 / $287.49 / $287.49	Professional		$287.49	$287.49	$287.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $169.26 / $309.25	Facility		$141.05	$169.26	$309.25
United Facility/Professional Professional Modifier Low / Median / High Price $72.76 / $80.77 / $122.34	Professional		$72.76	$80.77	$122.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.35 / $85.35 / $164.17	Professional		$85.35	$85.35	$164.17