Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $296.20 / $682.03	Professional		$239.76	$296.20	$682.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $519.89 / $2,699.33 / $2,699.33	Facility		$519.89	$2,699.33	$2,699.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $456.94 / $709.80	Professional		$60.26	$456.94	$709.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $376.09	Facility		$376.09	$376.09	$376.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $376.09 / $493.61	Professional		$319.68	$376.09	$493.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $554.73 / $554.73 / $554.73	Facility		$554.73	$554.73	$554.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.73 / $554.73 / $554.73	Professional		$554.73	$554.73	$554.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $561.83 / $618.01	Professional		$75.00	$561.83	$618.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $554.73 / $581.19 / $715.71	Facility		$554.73	$581.19	$715.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $554.73 / $581.19 / $676.00	Professional		$554.73	$581.19	$676.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.89 / $519.89 / $942.50	Facility		$519.89	$519.89	$942.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $522.41 / $619.36	Professional		$45.78	$522.41	$619.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $538.57 / $538.57 / $538.57	Facility		$538.57	$538.57	$538.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $49.49 / $60.26	Professional		$49.49	$49.49	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $286.08 / $305.60 / $549.74	Professional		$286.08	$305.60	$549.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $522.40 / $522.40 / $522.40	Professional		$522.40	$522.40	$522.40