Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.84 / $259.97 / $616.13	Facility		$219.84	$259.97	$616.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $259.97 / $347.36	Professional		$136.24	$259.97	$347.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $362.40 / $532.60 / $1,416.02	Facility		$362.40	$532.60	$1,416.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $345.20 / $557.52 / $1,871.49	Professional		$345.20	$557.52	$1,871.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $347.71 / $409.07	Professional		$347.71	$347.71	$409.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $250.79 / $532.16 / $722.59	Facility		$250.79	$532.16	$722.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.20 / $532.16 / $732.22	Professional		$284.20	$532.16	$732.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $528.50 / $536.00	Facility		$440.00	$528.50	$536.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.40 / $362.40 / $365.60	Facility		$362.40	$362.40	$365.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.72 / $579.67 / $725.68	Professional		$370.72	$579.67	$725.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $332.88 / $399.45 / $729.79	Facility		$332.88	$399.45	$729.79
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $271.10 / $434.64	Professional		$173.23	$271.10	$434.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.15 / $335.15 / $335.15	Professional		$335.15	$335.15	$335.15