Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.32 / $434.30 / $453.43	Facility		$191.32	$434.30	$453.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $191.32 / $453.43	Professional		$136.26	$191.32	$453.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $257.79 / $532.33 / $1,287.83	Facility		$257.79	$532.33	$1,287.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $190.89 / $250.25 / $1,472.02	Professional		$190.89	$250.25	$1,472.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $184.91	Facility		$184.91	$184.91	$184.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $184.91	Professional		$134.97	$134.97	$184.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $292.30 / $698.43	Facility		$153.33	$292.30	$698.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $282.07 / $517.17	Professional		$153.50	$282.07	$517.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $225.70 / $248.27	Professional		$203.13	$225.70	$248.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.70 / $272.52 / $294.41	Facility		$233.70	$272.52	$294.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $233.89 / $294.41 / $294.41	Professional		$233.89	$294.41	$294.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.79 / $330.64 / $575.02	Facility		$257.79	$330.64	$575.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $280.22 / $287.51 / $287.51	Facility		$280.22	$287.51	$287.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $233.89 / $250.25 / $323.85	Professional		$233.89	$250.25	$323.85
United Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $183.23 / $232.01	Professional		$121.61	$183.23	$232.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.04 / $148.22	Professional		$52.04	$52.04	$148.22