Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.56 / $370.56 / $841.17	Facility		$370.56	$370.56	$841.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $348.59 / $455.32	Professional		$236.30	$348.59	$455.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,185.66 / $2,315.16 / $2,315.16	Facility		$1,185.66	$2,315.16	$2,315.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $349.73 / $1,138.08 / $3,807.60	Professional		$349.73	$1,138.08	$3,807.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $359.63	Professional		$359.63	$359.63	$359.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.47 / $735.40 / $1,151.61	Facility		$436.47	$735.40	$1,151.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.72 / $725.94 / $1,164.02	Professional		$419.72	$725.94	$1,164.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $719.40 / $864.09 / $876.36	Facility		$719.40	$864.09	$876.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.28 / $990.55 / $1,225.99	Professional		$615.28	$990.55	$1,225.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $884.86 / $920.83 / $1,323.27	Professional		$884.86	$920.83	$1,323.27
United Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $283.23 / $478.96	Professional		$188.82	$283.23	$478.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $312.82 / $312.82 / $312.82	Professional		$312.82	$312.82	$312.82