Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $309.70 / $549.82	Facility		$54.18	$309.70	$549.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.61 / $231.99 / $525.86	Professional		$196.61	$231.99	$525.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $301.02 / $715.05 / $1,640.11	Facility		$301.02	$715.05	$1,640.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $300.85 / $1,773.08	Professional		$244.80	$300.85	$1,773.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $212.98 / $212.98	Facility		$125.32	$212.98	$212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $155.47 / $276.61	Professional		$155.47	$155.47	$276.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.80 / $356.56 / $942.06	Facility		$208.80	$356.56	$942.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $362.55 / $667.79	Professional		$220.72	$362.55	$667.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $263.54 / $289.89	Professional		$26.35	$263.54	$289.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.89 / $335.72 / $356.04	Facility		$272.89	$335.72	$356.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $273.10 / $343.78 / $356.04	Professional		$273.10	$343.78	$356.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.02 / $386.08 / $671.44	Facility		$301.02	$386.08	$671.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $335.72 / $335.72	Facility		$327.20	$335.72	$335.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $273.10 / $292.20 / $378.16	Professional		$273.10	$292.20	$378.16
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $156.97 / $299.47	Professional		$145.13	$156.97	$299.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.64 / $292.20 / $292.20	Professional		$191.64	$292.20	$292.20