Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.19 / $468.05 / $488.67	Facility		$206.19	$468.05	$488.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.66 / $206.19 / $488.67	Professional		$168.66	$206.19	$488.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $267.52 / $874.59 / $1,580.76	Facility		$267.52	$874.59	$1,580.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $220.75 / $267.52 / $2,765.07	Professional		$220.75	$267.52	$2,765.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $188.19	Professional		$137.38	$137.38	$188.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $189.28 / $322.33 / $837.20	Facility		$189.28	$322.33	$837.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.48 / $322.33 / $638.83	Professional		$189.48	$322.33	$638.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.79 / $234.22 / $257.64	Professional		$210.79	$234.22	$257.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.51 / $298.37 / $305.52	Facility		$242.51	$298.37	$305.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $301.17 / $305.52 / $305.52	Professional		$301.17	$305.52	$305.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.52 / $343.13 / $596.74	Facility		$267.52	$343.13	$596.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $290.81 / $298.37 / $298.37	Facility		$290.81	$298.37	$298.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $259.70 / $336.08	Professional		$242.71	$259.70	$336.08
United Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $150.49 / $286.66	Professional		$138.91	$150.49	$286.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $166.01 / $259.70	Professional		$166.01	$166.01	$259.70