Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $458.33 / $458.33	Facility		$458.33	$458.33	$458.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $358.10 / $458.33	Professional		$245.47	$358.10	$458.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $599.46 / $2,056.56 / $2,056.56	Facility		$599.46	$2,056.56	$2,056.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $435.87 / $871.23 / $3,346.73	Professional		$435.87	$871.23	$3,346.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $311.79 / $584.19 / $948.17	Facility		$311.79	$584.19	$948.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.60 / $584.19 / $946.09	Professional		$320.60	$584.19	$946.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $742.20 / $1,268.77	Professional		$124.64	$742.20	$1,268.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.33 / $782.00 / $931.30	Facility		$562.33	$782.00	$931.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.95 / $520.95 / $520.95	Facility		$520.95	$520.95	$520.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.94 / $799.25 / $1,141.45	Professional		$547.94	$799.25	$1,141.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $410.87 / $451.83 / $542.70	Facility		$410.87	$451.83	$542.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $451.61 / $732.25 / $1,055.71	Professional		$451.61	$732.25	$1,055.71
United Facility/Professional Professional Modifier Low / Median / High Price $454.47 / $675.56 / $1,131.56	Professional		$454.47	$675.56	$1,131.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $387.88 / $387.88 / $499.58	Professional		$387.88	$387.88	$499.58