Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.14 / $515.61 / $538.32	Facility		$227.14	$515.61	$538.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.03 / $227.14 / $538.32	Professional		$181.03	$227.14	$538.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $306.06 / $665.61 / $1,667.62	Facility		$306.06	$665.61	$1,667.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $248.91 / $305.88 / $1,803.01	Professional		$248.91	$305.88	$1,803.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $231.66	Facility		$231.66	$231.66	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $169.11 / $231.66	Professional		$169.11	$169.11	$231.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $362.30 / $957.80	Facility		$212.16	$362.30	$957.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.44 / $368.66 / $679.37	Professional		$224.44	$368.66	$679.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.15 / $267.95 / $294.74	Professional		$241.15	$267.95	$294.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.58 / $349.53 / $384.48	Facility		$314.58	$349.53	$384.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.06 / $392.54 / $682.68	Facility		$306.06	$392.54	$682.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $332.69 / $341.34 / $341.34	Facility		$332.69	$341.34	$341.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.67 / $297.10 / $384.48	Professional		$277.67	$297.10	$384.48
United Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $245.94 / $304.50	Professional		$159.61	$245.94	$304.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.45 / $297.10 / $297.10	Professional		$195.45	$297.10	$297.10