Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.95 / $580.95 / $580.95	Facility		$580.95	$580.95	$580.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.24 / $472.64 / $580.95	Professional		$389.24	$472.64	$580.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $643.46 / $976.88 / $2,131.46	Facility		$643.46	$976.88	$2,131.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $455.97 / $903.37 / $4,050.60	Professional		$455.97	$903.37	$4,050.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.29 / $960.95 / $1,509.18	Professional		$489.29	$960.95	$1,509.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $564.20 / $988.15	Facility		$303.80	$564.20	$988.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.49 / $532.29 / $964.32	Professional		$339.49	$532.29	$964.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $547.76	Professional		$45.00	$50.00	$547.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.81 / $385.46 / $405.75	Facility		$302.81	$385.46	$405.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.16 / $567.16 / $643.46	Facility		$567.16	$567.16	$643.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.46 / $964.48 / $1,277.20	Professional		$643.46	$964.48	$1,277.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $649.04 / $888.99 / $1,701.50	Facility		$649.04	$888.99	$1,701.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $611.23 / $855.12 / $1,198.19	Professional		$611.23	$855.12	$1,198.19
United Facility/Professional Professional Modifier Low / Median / High Price $448.57 / $740.75 / $1,278.72	Professional		$448.57	$740.75	$1,278.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $405.75 / $468.88 / $595.44	Professional		$405.75	$468.88	$595.44