Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.14 / $411.19 / $429.30	Facility		$181.14	$411.19	$429.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $181.14 / $429.30	Professional		$130.50	$181.14	$429.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $584.61 / $1,446.87	Facility		$244.07	$584.61	$1,446.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $195.74 / $244.07 / $1,670.30	Professional		$195.74	$244.07	$1,670.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $225.10	Facility		$225.10	$225.10	$225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $225.10	Professional		$164.32	$164.32	$225.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $279.29 / $747.18	Facility		$164.25	$279.29	$747.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $284.30 / $553.59	Professional		$164.43	$284.30	$553.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.33 / $213.70 / $235.07	Professional		$192.33	$213.70	$235.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $260.99 / $278.73	Facility		$221.28	$260.99	$278.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $260.99 / $278.73	Professional		$221.45	$260.99	$278.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $313.02 / $544.40	Facility		$244.07	$313.02	$544.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $265.30 / $272.20 / $272.20	Facility		$265.30	$272.20	$272.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $236.92 / $306.60	Professional		$221.45	$236.92	$306.60
United Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $130.21 / $172.06	Facility		$2.08	$130.21	$172.06
United Facility/Professional Professional Modifier Low / Median / High Price $130.21 / $195.31 / $248.41	Professional		$130.21	$195.31	$248.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $71.81 / $236.92	Professional		$71.81	$71.81	$236.92