Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $261.14 / $463.62	Facility		$55.64	$261.14	$463.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $195.62 / $444.06	Professional		$159.34	$195.62	$444.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $253.82 / $602.83 / $1,382.94	Facility		$253.82	$602.83	$1,382.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $206.41 / $253.66 / $1,495.20	Professional		$206.41	$253.66	$1,495.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.68 / $176.58 / $176.58	Facility		$105.68	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $128.90 / $220.60	Professional		$128.90	$128.90	$220.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $176.16 / $300.82 / $794.31	Facility		$176.16	$300.82	$794.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.31 / $306.02 / $563.52	Professional		$186.31	$306.02	$563.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $222.21 / $244.43	Professional		$22.22	$222.21	$244.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.09 / $283.07 / $300.24	Facility		$230.09	$283.07	$300.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $260.87 / $289.86 / $300.24	Professional		$260.87	$289.86	$300.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.82 / $325.52 / $566.14	Facility		$253.82	$325.52	$566.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.89 / $283.07 / $283.07	Facility		$275.89	$283.07	$283.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.27 / $246.38 / $318.85	Professional		$230.27	$246.38	$318.85
United Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $142.77 / $252.52	Professional		$122.38	$142.77	$252.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $246.38 / $246.38	Professional		$155.36	$246.38	$246.38