Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.19 / $556.58 / $581.10	Facility		$245.19	$556.58	$581.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $245.19 / $581.10	Professional		$203.88	$245.19	$581.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $330.37 / $681.63 / $1,592.80	Facility		$330.37	$681.63	$1,592.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $320.70 / $2,030.64	Professional		$214.07	$320.70	$2,030.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $197.02	Facility		$197.02	$197.02	$197.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $143.82 / $197.02	Professional		$143.82	$143.82	$197.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $192.46 / $367.10 / $875.62	Facility		$192.46	$367.10	$875.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.67 / $360.90 / $648.76	Professional		$192.67	$360.90	$648.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.30 / $289.23 / $318.15	Professional		$260.30	$289.23	$318.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $299.49 / $368.45 / $407.76	Facility		$299.49	$368.45	$407.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $320.70 / $377.29 / $407.76	Professional		$320.70	$377.29	$407.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.37 / $423.72 / $736.90	Facility		$330.37	$423.72	$736.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $359.11 / $368.45 / $368.45	Facility		$359.11	$368.45	$368.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $299.72 / $320.70 / $415.02	Professional		$299.72	$320.70	$415.02
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $229.83 / $291.08	Professional		$152.57	$229.83	$291.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $127.44 / $186.03	Professional		$127.44	$127.44	$186.03