Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.42 / $436.79 / $456.04	Facility		$192.42	$436.79	$456.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $192.42 / $456.04	Professional		$111.04	$192.42	$456.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $259.27 / $534.92 / $1,184.51	Facility		$259.27	$534.92	$1,184.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $251.68 / $1,469.79	Professional		$175.32	$251.68	$1,469.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $138.76	Professional		$101.29	$101.29	$138.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $139.68 / $281.29 / $635.62	Facility		$139.68	$281.29	$635.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $281.29 / $471.67	Professional		$139.83	$281.29	$471.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $226.99 / $249.68	Professional		$204.29	$226.99	$249.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $216.86 / $254.91 / $296.08	Facility		$216.86	$254.91	$296.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $222.07 / $296.08 / $296.08	Professional		$222.07	$296.08	$296.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.27 / $332.52 / $578.29	Facility		$259.27	$332.52	$578.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $281.82 / $289.14 / $289.14	Facility		$281.82	$289.14	$289.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.22 / $251.68 / $325.70	Professional		$235.22	$251.68	$325.70
United Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $355.31 / $355.31	Facility		$296.08	$355.31	$355.31
United Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $166.19 / $211.37	Professional		$110.79	$166.19	$211.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $98.88 / $133.38	Professional		$98.88	$98.88	$133.38