Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.69 / $532.75 / $556.22	Facility		$234.69	$532.75	$556.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $234.69 / $556.22	Professional		$187.04	$234.69	$556.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $316.22 / $687.71 / $1,722.99	Facility		$316.22	$687.71	$1,722.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $257.17 / $316.02 / $1,862.87	Professional		$257.17	$316.02	$1,862.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $239.35	Facility		$239.35	$239.35	$239.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $239.35	Professional		$174.73	$174.73	$239.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $219.36 / $374.60 / $989.59	Facility		$219.36	$374.60	$989.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $380.88 / $701.72	Professional		$231.88	$380.88	$701.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.16 / $276.85 / $304.53	Professional		$249.16	$276.85	$304.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.02 / $361.13 / $374.07	Facility		$325.02	$361.13	$374.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $286.89 / $286.89 / $286.89	Professional		$286.89	$286.89	$286.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.22 / $405.57 / $705.34	Facility		$316.22	$405.57	$705.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $343.73 / $352.67 / $352.67	Facility		$343.73	$352.67	$352.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $286.89 / $306.95 / $397.24	Professional		$286.89	$306.95	$397.24
United Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $247.35 / $314.60	Professional		$164.90	$247.35	$314.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.31 / $306.95 / $306.95	Professional		$222.31	$306.95	$306.95