Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.28 / $691.14 / $840.96	Facility		$514.28	$691.14	$840.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.37 / $434.70 / $564.79	Professional		$353.37	$434.70	$564.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $556.16 / $1,805.97 / $1,805.97	Facility		$556.16	$1,805.97	$1,805.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $480.15 / $809.14 / $3,355.05	Professional		$480.15	$809.14	$3,355.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.90 / $715.38 / $1,209.03	Professional		$425.90	$715.38	$1,209.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $361.08 / $600.08 / $1,005.06	Facility		$361.08	$600.08	$1,005.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.33 / $566.15 / $982.36	Professional		$346.33	$566.15	$982.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $668.03 / $1,170.83	Professional		$118.65	$668.03	$1,170.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.91 / $792.61 / $815.39	Facility		$524.91	$792.61	$815.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.96 / $544.96 / $556.16	Facility		$544.96	$544.96	$556.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.16 / $880.00 / $1,100.74	Professional		$556.16	$880.00	$1,100.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $545.62 / $776.03 / $1,053.92	Professional		$545.62	$776.03	$1,053.92
United Facility/Professional Professional Modifier Low / Median / High Price $449.54 / $731.09 / $1,171.17	Professional		$449.54	$731.09	$1,171.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.70 / $396.38 / $429.35	Professional		$335.70	$396.38	$429.35