Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.33 / $353.24 / $660.23	Facility		$322.33	$353.24	$660.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $321.72 / $384.08	Professional		$318.52	$321.72	$384.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $304.77 / $459.99 / $1,565.00	Facility		$304.77	$459.99	$1,565.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $350.38 / $1,374.70	Professional		$318.52	$350.38	$1,374.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $311.36 / $626.00	Facility		$300.50	$311.36	$626.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $390.65	Professional		$318.52	$318.52	$390.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $318.52 / $955.21	Facility		$318.52	$318.52	$955.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $734.03	Professional		$318.52	$318.52	$734.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $75.00	Professional		$30.00	$60.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.66 / $318.52 / $542.15	Facility		$306.66	$318.52	$542.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.67 / $464.48 / $842.09	Facility		$270.67	$464.48	$842.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.98 / $396.54 / $716.70	Professional		$328.98	$396.54	$716.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $306.66 / $367.99 / $682.78	Facility		$306.66	$367.99	$682.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $350.38 / $382.24	Professional		$318.52	$350.38	$382.24
United Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $318.52 / $379.05	Professional		$313.00	$318.52	$379.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $318.52 / $318.52	Professional		$311.36	$318.52	$318.52