Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.49 / $439.22 / $458.57	Facility		$193.49	$439.22	$458.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $193.49 / $458.57	Professional		$154.19	$193.49	$458.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $260.70 / $566.98 / $1,420.57	Facility		$260.70	$566.98	$1,420.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $195.42 / $306.73 / $2,180.69	Professional		$195.42	$306.73	$2,180.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $170.29	Facility		$170.29	$170.29	$170.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $170.29	Professional		$144.75	$144.75	$170.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $171.53 / $297.74 / $780.93	Facility		$171.53	$297.74	$780.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $301.48 / $578.41	Professional		$171.72	$301.48	$578.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $297.74 / $297.74	Professional		$60.00	$297.74	$297.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.33 / $290.76 / $308.39	Facility		$236.33	$290.76	$308.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $267.97 / $297.74 / $308.39	Professional		$267.97	$297.74	$308.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.70 / $334.37 / $581.52	Facility		$260.70	$334.37	$581.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $283.39 / $290.76 / $290.76	Facility		$283.39	$290.76	$290.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.35 / $327.51 / $327.51	Professional		$217.35	$327.51	$327.51
United Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $204.79 / $259.39	Professional		$135.94	$204.79	$259.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $253.08 / $253.08	Professional		$164.70	$253.08	$253.08