Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.37 / $434.41 / $453.55	Facility		$191.37	$434.41	$453.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $191.37 / $434.41	Professional		$130.63	$191.37	$434.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $248.31 / $575.66 / $1,107.57	Facility		$248.31	$575.66	$1,107.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $241.04 / $1,403.72	Professional		$151.00	$241.04	$1,403.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $150.11	Professional		$109.58	$109.58	$150.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.77 / $269.39 / $608.42	Facility		$133.77	$269.39	$608.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $269.39 / $450.98	Professional		$133.91	$269.39	$450.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $217.40 / $239.14	Professional		$195.66	$217.40	$239.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $255.22 / $283.58	Facility		$225.10	$255.22	$283.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $233.28 / $283.58 / $311.94	Professional		$233.28	$283.58	$311.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.31 / $318.47 / $553.86	Facility		$248.31	$318.47	$553.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $269.92 / $276.93 / $276.93	Facility		$269.92	$276.93	$276.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $241.04 / $311.94	Professional		$225.28	$241.04	$311.94
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $106.28 / $202.44	Professional		$98.11	$106.28	$202.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $127.73	Professional		$78.06	$78.06	$127.73