Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $334.55 / $349.29	Facility		$147.38	$334.55	$349.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $147.38 / $349.29	Professional		$124.32	$147.38	$349.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $198.59 / $431.89 / $1,123.06	Facility		$198.59	$431.89	$1,123.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $211.40 / $1,352.98	Professional		$165.56	$211.40	$1,352.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $166.47	Professional		$121.52	$121.52	$166.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.86 / $226.80 / $605.62	Facility		$132.86	$226.80	$605.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $231.34 / $448.50	Professional		$133.00	$231.34	$448.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $173.85 / $191.23	Professional		$156.46	$173.85	$191.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.03 / $221.48 / $248.63	Facility		$180.03	$221.48	$248.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $204.12 / $226.80 / $249.48	Professional		$204.12	$226.80	$249.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.59 / $254.70 / $442.96	Facility		$198.59	$254.70	$442.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $221.48 / $221.48	Facility		$215.87	$221.48	$221.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $192.78 / $249.48	Professional		$180.16	$192.78	$249.48
United Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $158.91 / $201.22	Professional		$105.47	$158.91	$201.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $81.18 / $192.78	Professional		$81.18	$81.18	$192.78