Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.77 / $405.05 / $641.73	Facility		$270.77	$405.05	$641.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $270.77 / $641.73	Professional		$159.18	$270.77	$641.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $364.84 / $752.75 / $1,741.43	Facility		$364.84	$752.75	$1,741.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $354.16 / $2,062.46	Professional		$253.00	$354.16	$2,062.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $221.07	Facility		$221.07	$221.07	$221.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $221.07	Professional		$161.38	$161.38	$221.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $395.83 / $912.18	Facility		$200.20	$395.83	$912.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $395.83 / $675.24	Professional		$200.42	$395.83	$675.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.47 / $319.42 / $351.36	Professional		$287.47	$319.42	$351.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $358.72 / $416.66	Facility		$310.89	$358.72	$416.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $318.35 / $416.66 / $416.66	Professional		$318.35	$416.66	$416.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.84 / $467.92 / $813.78	Facility		$364.84	$467.92	$813.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $396.58 / $406.89 / $406.89	Facility		$396.58	$406.89	$406.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $354.16 / $458.33	Professional		$331.00	$354.16	$458.33
United Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $238.24 / $303.01	Professional		$158.83	$238.24	$303.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $174.86 / $201.58	Professional		$174.86	$174.86	$201.58