Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.57 / $603.00 / $865.55	Facility		$445.57	$603.00	$865.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $356.86 / $719.88	Professional		$278.48	$356.86	$719.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $646.61 / $1,577.39 / $1,577.39	Facility		$646.61	$1,577.39	$1,577.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $404.50 / $730.52 / $2,888.55	Professional		$404.50	$730.52	$2,888.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.39 / $541.83 / $1,036.53	Professional		$326.39	$541.83	$1,036.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $294.50 / $522.50 / $776.95	Facility		$294.50	$522.50	$776.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $492.00 / $782.38	Professional		$284.27	$492.00	$782.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $535.20 / $951.96	Professional		$96.43	$535.20	$951.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $451.25 / $606.35 / $692.11	Facility		$451.25	$606.35	$692.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.77 / $774.03 / $968.23	Professional		$474.77	$774.03	$968.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $471.70 / $669.78 / $849.09	Professional		$471.70	$669.78	$849.09
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $478.02 / $895.95	Professional		$308.68	$478.02	$895.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.66 / $368.56 / $368.56	Professional		$287.66	$368.56	$368.56