Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.51 / $811.55 / $847.30	Facility		$357.51	$811.55	$847.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.67 / $357.51 / $811.55	Professional		$296.67	$357.51	$811.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $463.88 / $1,262.68 / $2,763.54	Facility		$463.88	$1,262.68	$2,763.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $382.76 / $517.35 / $3,991.82	Professional		$382.76	$517.35	$3,991.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $331.03	Facility		$331.03	$331.03	$331.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $241.65 / $344.24	Professional		$241.65	$241.65	$344.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $333.51 / $563.66 / $1,451.71	Facility		$333.51	$563.66	$1,451.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.88 / $567.87 / $1,123.74	Professional		$333.88	$567.87	$1,123.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $365.51 / $406.13 / $446.74	Professional		$365.51	$406.13	$446.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $420.53 / $517.35 / $529.76	Facility		$420.53	$517.35	$529.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $476.78 / $529.76 / $540.36	Professional		$476.78	$529.76	$540.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.88 / $594.95 / $1,034.70	Facility		$463.88	$594.95	$1,034.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $504.24 / $517.35 / $517.35	Facility		$504.24	$517.35	$517.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $420.86 / $450.30 / $582.74	Professional		$420.86	$450.30	$582.74
United Facility/Professional Professional Modifier Low / Median / High Price $244.37 / $285.10 / $504.24	Professional		$244.37	$285.10	$504.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.83 / $237.83 / $322.16	Professional		$237.83	$237.83	$322.16