Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.85 / $301.20 / $329.56	Facility		$200.85	$301.20	$329.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.51 / $329.56 / $379.57	Professional		$275.51	$329.56	$379.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.05 / $2,894.15 / $3,820.34	Facility		$2,238.05	$2,894.15	$3,820.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $743.68 / $2,582.63	Professional		$360.40	$743.68	$2,582.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,060.50 / $2,564.13 / $4,659.12	Facility		$1,060.50	$2,564.13	$4,659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $471.64 / $471.64	Professional		$471.64	$471.64	$471.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,469.32 / $3,469.32 / $3,614.75	Facility		$3,469.32	$3,469.32	$3,614.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,372.41 / $1,372.41 / $1,372.41	Professional		$1,372.41	$1,372.41	$1,372.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.16 / $500.36 / $930.34	Facility		$251.16	$500.36	$930.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.34 / $406.34 / $409.93	Facility		$406.34	$406.34	$409.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.05 / $694.28 / $840.76	Professional		$448.05	$694.28	$840.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,217.61 / $2,880.97 / $5,407.87	Facility		$2,217.61	$2,880.97	$5,407.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $589.67 / $805.69	Professional		$448.00	$589.67	$805.69
United Facility/Professional Professional Modifier Low / Median / High Price $274.86 / $356.54 / $872.76	Professional		$274.86	$356.54	$872.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $40.61 / $338.94	Professional		$40.61	$40.61	$338.94