Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.66 / $564.37 / $806.60	Facility		$416.66	$564.37	$806.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $321.93 / $730.14	Professional		$253.85	$321.93	$730.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $605.32 / $1,472.94 / $1,472.94	Facility		$605.32	$1,472.94	$1,472.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $377.72 / $679.45 / $2,710.73	Professional		$377.72	$679.45	$2,710.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.24 / $506.23 / $970.95	Professional		$305.24	$506.23	$970.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.27 / $488.40 / $726.92	Facility		$275.27	$488.40	$726.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.98 / $460.32 / $732.04	Professional		$265.98	$460.32	$732.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $481.21 / $854.33	Professional		$86.73	$481.21	$854.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.99 / $563.47 / $648.55	Facility		$416.99	$563.47	$648.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.61 / $725.32 / $907.31	Professional		$444.61	$725.32	$907.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $443.06 / $629.10 / $795.02	Professional		$443.06	$629.10	$795.02
United Facility/Professional Professional Modifier Low / Median / High Price $291.01 / $448.59 / $839.40	Professional		$291.01	$448.59	$839.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $268.61 / $343.90 / $343.90	Professional		$268.61	$343.90	$343.90