Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.75 / $287.72 / $300.39	Facility		$126.75	$287.72	$300.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $126.75 / $219.28	Professional		$57.02	$126.75	$219.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.46 / $390.69 / $899.40	Facility		$164.46	$390.69	$899.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $164.37 / $968.61	Professional		$133.74	$164.37	$968.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $153.94	Facility		$107.42	$107.42	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $153.94	Professional		$78.42	$78.42	$153.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.29 / $187.82 / $397.95	Facility		$108.29	$187.82	$397.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $190.32 / $364.92	Professional		$108.40	$190.32	$364.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $187.82 / $187.82	Professional		$60.00	$187.82	$187.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $187.82 / $194.50	Facility		$169.04	$187.82	$194.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.46 / $210.93 / $366.84	Facility		$164.46	$210.93	$366.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $178.77 / $183.42 / $183.42	Facility		$178.77	$183.42	$183.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $159.65 / $206.60	Professional		$149.21	$159.65	$206.60
United Facility/Professional Facility Modifier Low / Median / High Price $66.08 / $85.00 / $92.51	Facility		$66.08	$85.00	$92.51
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $85.90 / $163.62	Professional		$79.29	$85.90	$163.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $103.76 / $159.65	Professional		$103.76	$103.76	$159.65