Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.76 / $431.52 / $525.25	Facility		$323.76	$431.52	$525.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $270.75 / $365.23	Professional		$223.47	$270.75	$365.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $344.58 / $1,130.83 / $1,130.83	Facility		$344.58	$1,130.83	$1,130.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $301.23 / $506.90 / $2,078.40	Professional		$301.23	$506.90	$2,078.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.01 / $448.37 / $750.07	Professional		$268.01	$448.37	$750.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $228.10 / $379.08 / $629.61	Facility		$228.10	$379.08	$629.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $357.64 / $616.48	Professional		$218.40	$357.64	$616.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $365.93 / $640.18	Professional		$65.73	$365.93	$640.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.60 / $499.12 / $505.18	Facility		$325.60	$499.12	$505.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.66 / $340.66 / $344.58	Facility		$340.66	$340.66	$344.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.58 / $539.36 / $681.20	Professional		$344.58	$539.36	$681.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.49 / $483.47 / $652.96	Professional		$340.49	$483.47	$652.96
United Facility/Professional Professional Modifier Low / Median / High Price $299.60 / $441.91 / $740.20	Professional		$299.60	$441.91	$740.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $210.36 / $248.36 / $269.00	Professional		$210.36	$248.36	$269.00