Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.32 / $259.51 / $270.94	Facility		$114.32	$259.51	$270.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $114.32 / $270.94	Professional		$106.99	$114.32	$270.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $393.34 / $917.84	Facility		$154.03	$393.34	$917.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $160.91 / $1,095.59	Professional		$128.41	$160.91	$1,095.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Facility		$113.00	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $113.00	Professional		$82.49	$82.49	$113.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.56 / $186.86 / $482.09	Facility		$110.56	$186.86	$482.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $188.16 / $372.37	Professional		$110.68	$188.16	$372.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $134.87 / $148.35	Professional		$121.38	$134.87	$148.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.65 / $171.78 / $220.00	Facility		$139.65	$171.78	$220.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.31 / $175.90 / $220.00	Professional		$158.31	$175.90	$220.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $197.55 / $343.56	Facility		$154.03	$197.55	$343.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $167.43 / $171.78 / $171.78	Facility		$167.43	$171.78	$171.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $149.52 / $193.49	Professional		$139.76	$149.52	$193.49
United Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $131.97 / $167.14	Professional		$87.61	$131.97	$167.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $93.24 / $149.52	Professional		$93.24	$93.24	$149.52