Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.57 / $295.89 / $585.88	Professional		$251.57	$295.89	$585.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,201.61 / $2,606.76	Facility		$100.00	$1,201.61	$2,606.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $367.00 / $605.89	Professional		$50.27	$367.00	$605.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $292.50	Facility		$292.50	$292.50	$292.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $439.28	Professional		$248.63	$292.50	$439.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $591.92 / $591.92 / $591.92	Facility		$591.92	$591.92	$591.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $591.92 / $591.92 / $591.92	Professional		$591.92	$591.92	$591.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.02 / $453.78 / $499.15	Professional		$363.02	$453.78	$499.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $491.35 / $560.76 / $591.92	Facility		$491.35	$560.76	$591.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $503.14 / $574.22 / $591.92	Professional		$503.14	$574.22	$591.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.03 / $518.32 / $518.32	Facility		$53.03	$518.32	$518.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $491.35 / $664.77	Professional		$50.27	$491.35	$664.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $578.05 / $578.05 / $578.05	Facility		$578.05	$578.05	$578.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $49.79	Professional		$40.89	$40.89	$49.79
United Facility/Professional Professional Modifier Low / Median / High Price $232.08 / $251.02 / $478.90	Professional		$232.08	$251.02	$478.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.14 / $321.14 / $321.14	Professional		$321.14	$321.14	$321.14