Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.01 / $726.42 / $758.42	Facility		$320.01	$726.42	$758.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $284.45 / $472.88	Professional		$217.40	$284.45	$472.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $415.22 / $1,103.47 / $2,210.04	Facility		$415.22	$1,103.47	$2,210.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $412.13 / $2,567.81	Professional		$329.00	$412.13	$2,567.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $350.29	Facility		$315.73	$315.73	$350.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $350.29	Professional		$230.48	$230.48	$350.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.60 / $474.18 / $1,228.05	Facility		$275.60	$474.18	$1,228.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $474.18 / $885.42	Professional		$276.95	$474.18	$885.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $327.15 / $363.51 / $399.86	Professional		$327.15	$363.51	$399.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $376.39 / $426.76 / $474.18	Facility		$376.39	$426.76	$474.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $417.43 / $474.18 / $474.18	Professional		$417.43	$474.18	$474.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.22 / $532.53 / $926.14	Facility		$415.22	$532.53	$926.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $451.34 / $463.07 / $463.07	Facility		$451.34	$463.07	$463.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $376.69 / $403.05 / $521.60	Professional		$376.69	$403.05	$521.60
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $208.25 / $397.31	Professional		$192.55	$208.25	$397.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $193.59 / $253.85	Professional		$193.59	$193.59	$253.85