Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.91 / $426.56 / $445.35	Facility		$187.91	$426.56	$445.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.39 / $187.91 / $445.35	Professional		$120.39	$187.91	$445.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $550.66 / $1,269.54	Facility		$253.20	$550.66	$1,269.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $188.42 / $245.79 / $1,431.39	Professional		$188.42	$245.79	$1,431.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $170.64	Facility		$108.00	$170.64	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $170.64	Professional		$124.57	$124.57	$170.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.51 / $289.12 / $689.06	Facility		$151.51	$289.12	$689.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $277.51 / $511.39	Professional		$151.68	$277.51	$511.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $221.68 / $243.84	Professional		$199.51	$221.68	$243.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.54 / $260.25 / $289.17	Facility		$229.54	$260.25	$289.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $240.78 / $289.17 / $289.17	Professional		$240.78	$289.17	$289.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $324.75 / $564.78	Facility		$253.20	$324.75	$564.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.42 / $187.42 / $187.42	Professional		$187.42	$187.42	$187.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.23 / $282.39 / $282.39	Facility		$275.23	$282.39	$282.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.72 / $245.79 / $318.08	Professional		$229.72	$245.79	$318.08
United Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $180.95 / $229.18	Professional		$120.12	$180.95	$229.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.31 / $145.31 / $245.79	Professional		$145.31	$145.31	$245.79