Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.02 / $524.41 / $547.52	Facility		$231.02	$524.41	$547.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.21 / $231.02 / $547.52	Professional		$216.21	$231.02	$547.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $311.29 / $661.15 / $1,717.84	Facility		$311.29	$661.15	$1,717.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $256.87 / $319.18 / $2,162.57	Professional		$256.87	$319.18	$2,162.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $203.51	Professional		$148.56	$148.56	$203.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $204.75 / $355.50 / $932.81	Facility		$204.75	$355.50	$932.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $359.86 / $690.96	Professional		$204.97	$359.86	$690.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $272.52 / $299.77	Professional		$245.26	$272.52	$299.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.18 / $347.17 / $434.25	Facility		$282.18	$347.17	$434.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $302.18 / $355.50 / $434.25	Professional		$302.18	$355.50	$434.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.29 / $399.25 / $694.34	Facility		$311.29	$399.25	$694.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.37 / $347.17 / $347.17	Facility		$338.37	$347.17	$347.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $302.18 / $391.05	Professional		$282.39	$302.18	$391.05
United Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $243.72 / $309.99	Professional		$162.47	$243.72	$309.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $114.49 / $197.18	Professional		$114.49	$114.49	$197.18