Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.69 / $814.23 / $850.10	Facility		$358.69	$814.23	$850.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.28 / $358.69 / $850.10	Professional		$246.28	$358.69	$850.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $465.41 / $1,012.15 / $2,182.33	Facility		$465.41	$1,012.15	$2,182.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $342.42 / $451.78 / $2,693.81	Professional		$342.42	$451.78	$2,693.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $295.70	Professional		$215.87	$215.87	$295.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $277.68 / $505.03 / $1,376.50	Facility		$277.68	$505.03	$1,376.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $505.03 / $893.70	Professional		$279.36	$505.03	$893.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $366.72 / $407.47 / $448.21	Professional		$366.72	$407.47	$448.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $421.91 / $478.36 / $531.51	Facility		$421.91	$478.36	$531.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $439.78 / $531.51 / $531.51	Professional		$439.78	$531.51	$531.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.41 / $596.91 / $1,038.09	Facility		$465.41	$596.91	$1,038.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.90 / $519.04 / $519.04	Facility		$505.90	$519.04	$519.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $451.78 / $584.66	Professional		$422.25	$451.78	$584.66
United Facility/Professional Facility Modifier Low / Median / High Price $161.79 / $208.12 / $226.51	Facility		$161.79	$208.12	$226.51
United Facility/Professional Professional Modifier Low / Median / High Price $194.15 / $210.33 / $400.63	Professional		$194.15	$210.33	$400.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $265.57 / $265.57	Professional		$256.36	$265.57	$265.57