Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.73 / $435.23 / $454.40	Facility		$191.73	$435.23	$454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $191.73 / $454.40	Professional		$111.90	$191.73	$454.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $258.35 / $541.54 / $1,197.00	Facility		$258.35	$541.54	$1,197.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $177.87 / $250.79 / $1,711.98	Professional		$177.87	$250.79	$1,711.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $169.96	Professional		$124.07	$124.07	$169.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $140.59 / $280.30 / $640.30	Facility		$140.59	$280.30	$640.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $280.30 / $474.98	Professional		$140.74	$280.30	$474.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.56 / $226.18 / $248.79	Professional		$203.56	$226.18	$248.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.54 / $254.01 / $295.05	Facility		$218.54	$254.01	$295.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $223.79 / $295.05 / $295.05	Professional		$223.79	$295.05	$295.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.35 / $331.35 / $576.26	Facility		$258.35	$331.35	$576.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $280.83 / $288.13 / $288.13	Facility		$280.83	$288.13	$288.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $250.79 / $324.56	Professional		$234.38	$250.79	$324.56
United Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $167.47 / $213.01	Professional		$111.65	$167.47	$213.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $41.63 / $136.93	Professional		$41.63	$41.63	$136.93