Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.51 / $431.89 / $808.77	Facility		$326.51	$431.89	$808.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.79 / $396.56 / $471.15	Professional		$391.79	$396.56	$471.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $299.13 / $458.51 / $1,868.85	Facility		$299.13	$458.51	$1,868.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $431.89 / $6,283.71	Professional		$392.63	$431.89	$6,283.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $373.77 / $906.39	Facility		$370.40	$373.77	$906.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $481.53	Professional		$392.63	$392.63	$481.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $267.83 / $392.63 / $943.03	Facility		$267.83	$392.63	$943.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $392.63 / $774.74	Professional		$266.70	$392.63	$774.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $411.14 / $504.58	Professional		$75.00	$411.14	$504.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $388.82 / $444.49 / $911.90	Facility		$388.82	$444.49	$911.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.10 / $462.63 / $809.59	Facility		$248.10	$462.63	$809.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $476.02 / $860.37	Professional		$373.77	$476.02	$860.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $299.13 / $431.89 / $665.03	Facility		$299.13	$431.89	$665.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $431.89 / $471.15	Professional		$392.63	$431.89	$471.15
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $471.16	Professional		$392.63	$392.63	$471.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $392.63 / $392.63	Professional		$373.77	$392.63	$392.63