Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.10 / $311.22 / $324.93	Facility		$137.10	$311.22	$324.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $137.10 / $324.93	Professional		$109.48	$137.10	$324.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $200.80 / $412.04 / $1,006.76	Facility		$200.80	$412.04	$1,006.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $154.28 / $213.82 / $1,545.15	Professional		$154.28	$213.82	$1,545.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $171.65	Professional		$145.90	$145.90	$171.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $242.60 / $594.77	Facility		$153.44	$242.60	$594.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $240.05 / $416.42	Professional		$153.44	$240.05	$416.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.92 / $203.58 / $223.93	Professional		$178.92	$203.58	$223.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.86 / $210.96 / $232.06	Facility		$189.86	$210.96	$232.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.52 / $368.78 / $522.08	Facility		$257.52	$368.78	$522.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.32 / $206.02 / $371.48	Professional		$186.32	$206.02	$371.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $200.80 / $206.02 / $206.02	Facility		$200.80	$206.02	$206.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $232.06 / $232.06	Professional		$154.00	$232.06	$232.06
United Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $145.15 / $183.84	Professional		$96.36	$145.15	$183.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $179.32 / $179.32	Professional		$170.35	$179.32	$179.32