Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.04 / $209.10 / $329.58	Professional		$209.04	$209.10	$329.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,207.17 / $2,207.17	Facility		$100.00	$2,207.17	$2,207.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $307.75 / $418.20	Professional		$34.71	$307.75	$418.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $240.34	Facility		$240.34	$240.34	$240.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $204.29 / $240.95	Professional		$36.46	$204.29	$240.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $418.20 / $418.20 / $418.20	Facility		$418.20	$418.20	$418.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.20 / $418.20 / $418.20	Professional		$418.20	$418.20	$418.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $256.45 / $352.62	Professional		$38.54	$256.45	$352.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $410.16 / $758.62 / $835.49	Facility		$410.16	$758.62	$835.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $685.85 / $823.79 / $835.49	Professional		$685.85	$823.79	$835.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Facility		$36.61	$36.61	$36.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $347.14 / $736.30	Professional		$34.71	$347.14	$736.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $28.24 / $34.39	Professional		$28.24	$28.24	$34.39
United Facility/Professional Professional Modifier Low / Median / High Price $190.17 / $208.08 / $364.14	Professional		$190.17	$208.08	$364.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $297.98 / $297.98 / $297.98	Professional		$297.98	$297.98	$297.98