Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.39 / $343.47 / $679.91	Professional		$343.39	$343.47	$679.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,185.30 / $3,019.16	Facility		$100.00	$1,185.30	$3,019.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $383.23 / $697.79	Professional		$49.25	$383.23	$697.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $198.90 / $772.88	Professional		$198.90	$198.90	$772.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $686.93 / $686.93 / $686.93	Facility		$686.93	$686.93	$686.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.93 / $686.93 / $686.93	Professional		$686.93	$686.93	$686.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $515.22 / $686.93	Professional		$59.34	$515.22	$686.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.90 / $670.83 / $686.93	Facility		$588.90	$670.83	$686.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $608.33 / $686.93 / $686.93	Professional		$608.33	$686.93	$686.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.95 / $601.50 / $601.50	Facility		$51.95	$601.50	$601.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $570.21 / $1,209.58	Professional		$49.25	$570.21	$1,209.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $670.83 / $670.83 / $670.83	Facility		$670.83	$670.83	$670.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $40.04 / $48.76	Professional		$40.04	$40.04	$48.76
United Facility/Professional Professional Modifier Low / Median / High Price $269.33 / $291.29 / $555.76	Professional		$269.33	$291.29	$555.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $419.96 / $419.96 / $419.96	Professional		$419.96	$419.96	$419.96