Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.97 / $256.49 / $590.45	Professional		$214.97	$256.49	$590.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $450.09 / $2,228.01 / $2,228.01	Facility		$450.09	$2,228.01	$2,228.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $261.83 / $359.76 / $660.72	Professional		$261.83	$359.76	$660.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $416.18	Facility		$310.87	$310.87	$416.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $416.18	Professional		$264.24	$310.87	$416.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $437.05 / $437.05 / $437.05	Facility		$437.05	$437.05	$437.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.05 / $437.05 / $437.05	Professional		$437.05	$437.05	$437.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $484.52 / $605.65 / $666.21	Professional		$484.52	$605.65	$666.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $437.05 / $459.93 / $744.51	Facility		$437.05	$459.93	$744.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $393.35 / $459.93 / $629.26	Professional		$393.35	$459.93	$629.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $45.50 / $450.09	Facility		$45.50	$45.50	$450.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $424.32 / $545.65	Professional		$36.07	$424.32	$545.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $52.98 / $64.51	Professional		$52.98	$52.98	$64.51
United Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $292.19 / $442.88	Professional		$230.56	$292.19	$442.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.73 / $379.73 / $379.73	Professional		$379.73	$379.73	$379.73