Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.11 / $354.37 / $369.98	Facility		$156.11	$354.37	$369.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $156.11 / $369.98	Professional		$132.13	$156.11	$369.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $210.35 / $457.45 / $1,155.73	Facility		$210.35	$457.45	$1,155.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $172.92 / $209.00 / $1,477.62	Professional		$172.92	$209.00	$1,477.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $159.22	Facility		$159.22	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $159.22	Professional		$116.23	$116.23	$159.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $240.22 / $640.30	Facility		$141.05	$240.22	$640.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $245.02 / $474.98	Professional		$141.19	$245.02	$474.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $184.15 / $202.56	Professional		$165.73	$184.15	$202.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.68 / $234.59 / $264.25	Facility		$190.68	$234.59	$264.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $216.20 / $240.22 / $264.25	Professional		$216.20	$240.22	$264.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.35 / $269.77 / $469.18	Facility		$210.35	$269.77	$469.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $228.65 / $234.59 / $234.59	Facility		$228.65	$234.59	$234.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $204.19 / $264.24	Professional		$190.83	$204.19	$264.24
United Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $168.29 / $213.09	Professional		$111.70	$168.29	$213.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $87.43 / $204.19	Professional		$87.43	$87.43	$204.19