Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $469.89 / $490.59	Facility		$207.00	$469.89	$490.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $207.00 / $490.59	Professional		$136.47	$207.00	$490.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $278.92 / $606.59 / $1,456.51	Facility		$278.92	$606.59	$1,456.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $205.19 / $270.76 / $1,746.77	Professional		$205.19	$270.76	$1,746.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $170.54	Professional		$124.49	$124.49	$170.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $171.53 / $318.54 / $781.87	Facility		$171.53	$318.54	$781.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $314.68 / $579.25	Professional		$171.72	$314.68	$579.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.78 / $244.20 / $268.62	Professional		$219.78	$244.20	$268.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.54 / $311.07 / $318.54	Facility		$266.54	$311.07	$318.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.92 / $357.73 / $622.14	Facility		$278.92	$357.73	$622.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $303.19 / $311.07 / $311.07	Facility		$303.19	$311.07	$311.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.06 / $270.76 / $350.39	Professional		$253.06	$270.76	$350.39
United Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $204.24 / $259.77	Professional		$136.16	$204.24	$259.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.35 / $85.35 / $270.76	Professional		$85.35	$85.35	$270.76