Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.31 / $286.72 / $299.36	Facility		$126.31	$286.72	$299.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $126.31 / $299.36	Professional		$100.68	$126.31	$299.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $370.15 / $927.48	Facility		$170.20	$370.15	$927.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $170.10 / $1,002.77	Professional		$138.43	$170.10	$1,002.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $120.62	Professional		$88.05	$88.05	$120.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $111.93 / $194.38 / $509.06	Facility		$111.93	$194.38	$509.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $196.72 / $377.34	Professional		$112.05	$196.72	$377.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $149.02 / $163.92	Professional		$134.11	$149.02	$163.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.29 / $189.82 / $201.36	Facility		$154.29	$189.82	$201.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $174.94 / $194.38 / $201.36	Professional		$174.94	$194.38	$201.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $218.29 / $379.64	Facility		$170.20	$218.29	$379.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $185.01 / $189.82 / $189.82	Facility		$185.01	$189.82	$189.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $165.22 / $213.82	Professional		$154.41	$165.22	$213.82
United Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $133.15 / $169.35	Professional		$86.91	$133.15	$169.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $177.05 / $177.05	Professional		$165.22	$177.05	$177.05