Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.89 / $642.16 / $670.45	Facility		$282.89	$642.16	$670.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.16 / $282.89 / $670.45	Professional		$243.16	$282.89	$670.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $367.06 / $871.89 / $2,000.04	Facility		$367.06	$871.89	$2,000.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $366.83 / $2,162.37	Professional		$298.52	$366.83	$2,162.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $252.01 / $252.01	Facility		$252.01	$252.01	$252.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $183.97 / $252.01	Professional		$183.97	$183.97	$252.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $241.60 / $419.18 / $1,098.75	Facility		$241.60	$419.18	$1,098.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $424.64 / $814.26	Professional		$241.87	$424.64	$814.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $289.21 / $321.35 / $353.48	Professional		$289.21	$321.35	$353.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $332.74 / $409.36 / $434.21	Facility		$332.74	$409.36	$434.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $419.18 / $419.18 / $477.63	Professional		$419.18	$419.18	$477.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.06 / $470.76 / $818.72	Facility		$367.06	$470.76	$818.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.99 / $409.36 / $409.36	Facility		$398.99	$409.36	$409.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $333.01 / $356.30 / $461.10	Professional		$333.01	$356.30	$461.10
United Facility/Professional Professional Modifier Low / Median / High Price $176.98 / $206.47 / $365.19	Professional		$176.98	$206.47	$365.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $198.14 / $233.68	Professional		$198.14	$198.14	$233.68