Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.98 / $833.05 / $869.74	Facility		$366.98	$833.05	$869.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.20 / $366.98 / $869.74	Professional		$326.20	$366.98	$869.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $476.17 / $1,157.86 / $2,777.77	Facility		$476.17	$1,157.86	$2,777.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $389.88 / $473.11 / $3,176.29	Professional		$389.88	$473.11	$3,176.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $379.04	Professional		$276.70	$276.70	$379.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $327.14 / $556.90 / $1,487.81	Facility		$327.14	$556.90	$1,487.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $556.90 / $1,103.05	Professional		$327.50	$556.90	$1,103.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $375.19 / $416.88 / $458.56	Professional		$375.19	$416.88	$458.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $431.66 / $531.05 / $637.80	Facility		$431.66	$531.05	$637.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $543.80 / $637.80	Professional		$432.00	$543.80	$637.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.17 / $610.72 / $1,062.11	Facility		$476.17	$610.72	$1,062.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $517.60 / $531.05 / $531.05	Facility		$517.60	$531.05	$531.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $462.24 / $598.19	Professional		$432.00	$462.24	$598.19
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $239.78 / $259.33 / $494.79	Professional		$239.78	$259.33	$494.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $124.90 / $316.12	Professional		$124.90	$124.90	$316.12