Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.69 / $691.76 / $1,031.99	Facility		$452.69	$691.76	$1,031.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $439.81 / $703.56	Professional		$422.89	$439.81	$703.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $393.86 / $599.64 / $2,045.05	Facility		$393.86	$599.64	$2,045.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $422.89 / $1,968.33	Professional		$409.52	$422.89	$1,968.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $398.96 / $969.68	Facility		$398.96	$398.96	$969.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $518.64	Professional		$422.89	$422.89	$518.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $396.08 / $450.38 / $1,323.32	Facility		$396.08	$450.38	$1,323.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.89 / $431.80 / $896.64	Professional		$359.89	$431.80	$896.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $449.91 / $552.16	Professional		$75.00	$449.91	$552.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $478.75 / $879.61	Facility		$409.52	$478.75	$879.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.55 / $676.60 / $1,148.16	Facility		$348.55	$676.60	$1,148.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.83 / $471.55 / $773.34	Professional		$433.83	$471.55	$773.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $393.86 / $472.63 / $848.14	Facility		$393.86	$472.63	$848.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $401.75 / $422.89 / $439.81	Professional		$401.75	$422.89	$439.81
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $507.47	Professional		$422.89	$422.89	$507.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.87 / $422.89 / $422.89	Professional		$399.87	$422.89	$422.89