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 / $1,295.00	Facility		$257.79	$532.33	$1,295.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $193.96 / $250.25 / $1,472.02	Professional		$193.96	$250.25	$1,472.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $159.21	Facility		$159.21	$159.21	$159.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $159.21	Professional		$116.22	$116.22	$159.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $161.76 / $294.41 / $806.80	Facility		$161.76	$294.41	$806.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $294.41 / $517.17	Professional		$170.81	$294.41	$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 $250.25 / $272.52 / $294.41	Professional		$250.25	$272.52	$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 / $182.41 / $232.01	Professional		$121.61	$182.41	$232.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $148.22 / $148.22	Professional		$148.22	$148.22	$148.22