Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $288.74 / $301.45	Facility		$127.20	$288.74	$301.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.99 / $127.20 / $301.45	Professional		$118.99	$127.20	$301.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $171.39 / $372.74 / $1,037.98	Facility		$171.39	$372.74	$1,037.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $191.82 / $1,291.84	Professional		$142.88	$191.82	$1,291.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $122.31	Professional		$89.29	$89.29	$122.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $123.30 / $208.39 / $536.37	Facility		$123.30	$208.39	$536.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $210.10 / $415.40	Professional		$123.44	$210.10	$415.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $150.06 / $165.06	Professional		$135.05	$150.06	$165.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $191.15 / $237.97	Facility		$155.38	$191.15	$237.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $195.73 / $237.97	Professional		$155.50	$195.73	$237.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.39 / $219.82 / $382.30	Facility		$171.39	$219.82	$382.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.30 / $191.15 / $191.15	Facility		$186.30	$191.15	$191.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $166.37 / $215.30	Professional		$155.50	$166.37	$215.30
United Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $147.10 / $186.30	Professional		$97.65	$147.10	$186.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $96.28 / $120.12	Professional		$96.28	$96.28	$120.12