Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $494.26 / $704.00	Facility		$208.55	$494.26	$704.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.31 / $186.86 / $360.79	Professional		$147.31	$186.86	$360.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $270.60 / $642.78 / $1,474.48	Facility		$270.60	$642.78	$1,474.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $220.08 / $270.44 / $1,594.10	Professional		$220.08	$270.44	$1,594.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.66 / $176.75 / $180.09	Facility		$112.66	$176.75	$180.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $200.42	Professional		$129.03	$129.03	$200.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.68 / $320.50 / $846.84	Facility		$187.68	$320.50	$846.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $325.88 / $599.92	Professional		$198.40	$325.88	$599.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $236.91 / $260.60	Professional		$23.69	$236.91	$260.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.31 / $301.79 / $320.10	Facility		$245.31	$301.79	$320.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.50 / $309.02 / $320.10	Professional		$245.50	$309.02	$320.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.60 / $347.06 / $603.58	Facility		$270.60	$347.06	$603.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $294.14 / $301.79 / $301.79	Facility		$294.14	$301.79	$301.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.50 / $262.68 / $339.93	Professional		$245.50	$262.68	$339.93
United Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $152.22 / $269.23	Professional		$130.47	$152.22	$269.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $262.68 / $262.68	Professional		$171.10	$262.68	$262.68