Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.31 / $392.62 / $725.13	Facility		$355.31	$392.62	$725.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $360.50 / $428.32	Professional		$356.93	$360.50	$428.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $325.56 / $489.80 / $1,692.65	Facility		$325.56	$489.80	$1,692.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $392.62 / $1,496.24	Professional		$356.93	$392.62	$1,496.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $338.89 / $677.06	Facility		$336.73	$338.89	$677.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $437.74	Professional		$356.93	$356.93	$437.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $356.93 / $966.35	Facility		$356.93	$356.93	$966.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $795.43	Professional		$356.93	$356.93	$795.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $372.38 / $457.01	Professional		$50.00	$372.38	$457.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $348.61 / $404.07 / $742.41	Facility		$348.61	$404.07	$742.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $511.98 / $911.55	Facility		$293.00	$511.98	$911.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.07 / $431.61 / $780.09	Professional		$358.07	$431.61	$780.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $392.62 / $653.05	Facility		$326.52	$392.62	$653.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $392.62 / $428.32	Professional		$356.93	$392.62	$428.32
United Facility/Professional Professional Modifier Low / Median / High Price $338.53 / $356.93 / $424.75	Professional		$338.53	$356.93	$424.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.89 / $356.93 / $356.93	Professional		$338.89	$356.93	$356.93