Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.80 / $252.30 / $406.53	Professional		$235.80	$252.30	$406.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $518.52 / $1,856.74 / $1,856.74	Facility		$518.52	$1,856.74	$1,856.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $392.98 / $619.00	Professional		$51.15	$392.98	$619.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $327.62	Facility		$327.62	$327.62	$327.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $278.48 / $405.00	Professional		$42.42	$278.48	$405.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $473.10 / $473.10 / $473.10	Facility		$473.10	$473.10	$473.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.10 / $473.10 / $473.10	Professional		$473.10	$473.10	$473.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $476.89 / $524.57	Professional		$75.00	$476.89	$524.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $576.95 / $638.16 / $702.83	Facility		$576.95	$638.16	$702.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $576.95 / $692.99 / $702.83	Professional		$576.95	$692.99	$702.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $44.28 / $44.28	Facility		$44.28	$44.28	$44.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $390.49 / $528.30	Professional		$39.04	$390.49	$528.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $42.01 / $51.15	Professional		$42.01	$42.01	$51.15
United Facility/Professional Professional Modifier Low / Median / High Price $227.15 / $282.98 / $378.58	Professional		$227.15	$282.98	$378.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $443.42 / $443.42 / $443.42	Professional		$443.42	$443.42	$443.42