Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.56 / $339.50 / $354.46	Facility		$149.56	$339.50	$354.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $149.56 / $354.46	Professional		$111.15	$149.56	$354.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $201.52 / $541.78 / $1,170.00	Facility		$201.52	$541.78	$1,170.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $217.09 / $1,712.88	Professional		$168.00	$217.09	$1,712.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $182.31	Facility		$182.31	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.09 / $182.31	Professional		$133.09	$133.09	$182.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $139.68 / $237.95 / $630.65	Facility		$139.68	$237.95	$630.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $237.95 / $471.67	Professional		$139.83	$237.95	$471.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.78 / $176.43 / $194.07	Professional		$158.78	$176.43	$194.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.69 / $222.30 / $230.14	Facility		$182.69	$222.30	$230.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $230.14 / $234.74	Professional		$207.13	$230.14	$234.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.52 / $258.45 / $449.50	Facility		$201.52	$258.45	$449.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $219.05 / $224.75 / $224.75	Facility		$219.05	$224.75	$224.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $195.62 / $253.15	Professional		$182.83	$195.62	$253.15
United Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $167.06 / $211.59	Professional		$110.90	$167.06	$211.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $195.62	Professional		$57.24	$57.24	$195.62