Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.53 / $359.86 / $375.72	Facility		$158.53	$359.86	$375.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $158.53 / $375.72	Professional		$112.57	$158.53	$375.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $521.72 / $1,187.13	Facility		$213.61	$521.72	$1,187.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $213.61 / $1,649.25	Professional		$174.67	$213.61	$1,649.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $194.51	Professional		$141.99	$141.99	$194.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.50 / $243.95 / $645.00	Facility		$141.50	$243.95	$645.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $248.70 / $478.29	Professional		$141.66	$248.70	$478.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.30 / $187.01 / $205.71	Professional		$168.30	$187.01	$205.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.64 / $225.14 / $243.95	Facility		$193.64	$225.14	$243.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $207.36 / $243.95 / $268.35	Professional		$207.36	$243.95	$268.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $273.95 / $476.46	Facility		$213.61	$273.95	$476.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $232.19 / $238.23 / $238.23	Facility		$232.19	$238.23	$238.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.79 / $207.36 / $268.35	Professional		$193.79	$207.36	$268.35
United Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $168.48 / $214.29	Professional		$112.32	$168.48	$214.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $207.36	Professional		$57.24	$57.24	$207.36