Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.24 / $518.00 / $652.32	Facility		$275.24	$518.00	$652.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $275.24 / $652.32	Professional		$236.57	$275.24	$652.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $357.13 / $848.26 / $1,945.90	Facility		$357.13	$848.26	$1,945.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.43 / $356.92 / $2,103.75	Professional		$290.43	$356.92	$2,103.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $233.26	Facility		$233.26	$233.26	$233.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $264.51	Professional		$170.28	$170.28	$264.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $246.48 / $412.64 / $1,069.68	Facility		$246.48	$412.64	$1,069.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.68 / $416.01 / $791.91	Professional		$247.68	$416.01	$791.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.40 / $312.67 / $343.93	Professional		$281.40	$312.67	$343.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $398.29 / $422.44	Facility		$323.75	$398.29	$422.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $367.07 / $407.85 / $422.44	Professional		$367.07	$407.85	$422.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.13 / $458.03 / $796.58	Facility		$357.13	$458.03	$796.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $388.20 / $398.29 / $398.29	Facility		$388.20	$398.29	$398.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $324.01 / $346.67 / $448.64	Professional		$324.01	$346.67	$448.64
United Facility/Professional Professional Modifier Low / Median / High Price $172.19 / $186.23 / $355.31	Professional		$172.19	$186.23	$355.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.90 / $236.17 / $236.17	Professional		$224.90	$236.17	$236.17