Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.23 / $740.54 / $773.17	Facility		$326.23	$740.54	$773.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.79 / $289.98 / $449.12	Professional		$265.79	$289.98	$449.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $423.29 / $1,005.32 / $2,306.87	Facility		$423.29	$1,005.32	$2,306.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $268.12 / $420.57 / $2,498.42	Professional		$268.12	$420.57	$2,498.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $312.81	Facility		$312.81	$312.81	$312.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $228.35 / $342.75	Professional		$228.35	$228.35	$342.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $310.31 / $531.03 / $1,267.50	Facility		$310.31	$531.03	$1,267.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $512.08 / $939.21	Professional		$310.31	$512.08	$939.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $333.52 / $370.58 / $407.63	Professional		$333.52	$370.58	$407.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $383.71 / $472.08 / $501.69	Facility		$383.71	$472.08	$501.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $483.41 / $501.69	Professional		$435.07	$483.41	$501.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.29 / $542.89 / $944.16	Facility		$423.29	$542.89	$944.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $460.12 / $472.08 / $472.08	Facility		$460.12	$472.08	$472.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $384.02 / $410.90 / $531.75	Professional		$384.02	$410.90	$531.75
United Facility/Professional Professional Modifier Low / Median / High Price $204.13 / $238.15 / $421.23	Professional		$204.13	$238.15	$421.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $268.12 / $357.01 / $357.01	Professional		$268.12	$357.01	$357.01