Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $565.36 / $774.52	Facility		$326.80	$565.36	$774.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $326.80 / $382.93	Professional		$307.58	$326.80	$382.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $339.61 / $509.42 / $1,698.05	Facility		$339.61	$509.42	$1,698.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $1,460.99 / $1,730.12	Professional		$326.77	$1,460.99	$1,730.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $326.80 / $653.60	Facility		$326.80	$326.80	$653.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $320.12 / $976.63 / $1,613.08	Facility		$320.12	$976.63	$1,613.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.36 / $363.36 / $363.36	Professional		$363.36	$363.36	$363.36
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 $320.12 / $79,999.20 / $79,999.20	Facility		$320.12	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.67 / $365.25 / $777.71	Facility		$288.67	$365.25	$777.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.25 / $365.25 / $365.25	Professional		$365.25	$365.25	$365.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $339.61 / $423.10 / $797.10	Facility		$339.61	$423.10	$797.10
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $341.87	Professional		$320.39	$320.39	$341.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $320.39	Professional		$320.39	$320.39	$320.39