Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.70 / $609.97 / $636.84	Facility		$268.70	$609.97	$636.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $268.70 / $636.84	Professional		$176.03	$268.70	$636.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $362.07 / $787.41 / $1,746.86	Facility		$362.07	$787.41	$1,746.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $257.44 / $351.47 / $2,151.65	Professional		$257.44	$351.47	$2,151.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $244.07	Professional		$178.17	$178.17	$244.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $211.57 / $403.18 / $962.81	Facility		$211.57	$403.18	$962.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $396.18 / $713.30	Professional		$211.80	$396.18	$713.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.28 / $316.98 / $348.67	Professional		$285.28	$316.98	$348.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.23 / $372.14 / $413.49	Facility		$328.23	$372.14	$413.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $352.05 / $413.49 / $454.84	Professional		$352.05	$413.49	$454.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.07 / $464.37 / $807.60	Facility		$362.07	$464.37	$807.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $393.57 / $403.80 / $403.80	Facility		$393.57	$403.80	$403.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $328.48 / $351.47 / $454.84	Professional		$328.48	$351.47	$454.84
United Facility/Professional Facility Modifier Low / Median / High Price $448.26 / $537.91 / $537.91	Facility		$448.26	$537.91	$537.91
United Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $251.59 / $320.00	Professional		$167.72	$251.59	$320.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $168.10 / $351.47	Professional		$168.10	$168.10	$351.47