Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.64 / $430.18 / $796.79	Facility		$375.64	$430.18	$796.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $394.98 / $464.28	Professional		$391.06	$394.98	$464.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $338.40 / $533.04 / $1,819.15	Facility		$338.40	$533.04	$1,819.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $430.18 / $1,601.59	Professional		$391.07	$430.18	$1,601.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.75 / $368.93 / $879.67	Facility		$362.75	$368.93	$879.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $479.61	Professional		$391.07	$391.07	$479.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.85 / $435.26 / $993.23	Facility		$331.85	$435.26	$993.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.48 / $426.22 / $791.91	Professional		$354.48	$426.22	$791.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $400.21 / $491.17	Professional		$75.00	$400.21	$491.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $383.06 / $442.72 / $937.71	Facility		$383.06	$442.72	$937.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.56 / $530.92 / $947.52	Facility		$304.56	$530.92	$947.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.28 / $462.00 / $835.02	Professional		$383.28	$462.00	$835.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $355.36 / $430.18 / $738.09	Facility		$355.36	$430.18	$738.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $430.18 / $469.28	Professional		$391.07	$430.18	$469.28
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $469.28	Professional		$391.07	$391.07	$469.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.75 / $391.07 / $391.07	Professional		$362.75	$391.07	$391.07