Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.10 / $381.59 / $398.40	Facility		$168.10	$381.59	$398.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.34 / $168.10 / $398.40	Professional		$129.34	$168.10	$398.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $226.51 / $579.42 / $1,316.67	Facility		$226.51	$579.42	$1,316.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $226.38 / $1,707.26	Professional		$186.90	$226.38	$1,707.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $161.63	Professional		$117.99	$117.99	$161.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $275.30 / $708.83	Facility		$162.88	$275.30	$708.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $276.76 / $549.46	Professional		$163.06	$276.76	$549.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.47 / $198.30 / $218.13	Professional		$178.47	$198.30	$218.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $205.33 / $252.61 / $258.68	Facility		$205.33	$252.61	$258.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $258.68 / $284.55	Professional		$245.75	$258.68	$284.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.51 / $290.50 / $505.22	Facility		$226.51	$290.50	$505.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $246.21 / $252.61 / $252.61	Facility		$246.21	$252.61	$252.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $205.49 / $219.88 / $284.55	Professional		$205.49	$219.88	$284.55
United Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $129.05 / $170.54	Facility		$2.06	$129.05	$170.54
United Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $172.84 / $246.21	Professional		$129.05	$172.84	$246.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $109.61 / $219.88	Professional		$109.61	$109.61	$219.88