Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.67 / $773.32 / $807.39	Facility		$340.67	$773.32	$807.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.41 / $340.67 / $807.39	Professional		$277.41	$340.67	$807.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $442.03 / $1,004.77 / $2,095.14	Facility		$442.03	$1,004.77	$2,095.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $289.54 / $429.09 / $2,498.81	Professional		$289.54	$429.09	$2,498.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $246.11	Facility		$246.11	$246.11	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $313.30	Professional		$179.66	$179.66	$313.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $247.97 / $479.57 / $1,127.81	Facility		$247.97	$479.57	$1,127.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.24 / $479.57 / $835.77	Professional		$248.24	$479.57	$835.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $348.29 / $386.99 / $425.68	Professional		$348.29	$386.99	$425.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $400.71 / $492.98 / $504.81	Facility		$400.71	$492.98	$504.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $458.59 / $504.81 / $544.91	Professional		$458.59	$504.81	$544.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.03 / $566.92 / $985.96	Facility		$442.03	$566.92	$985.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $480.49 / $492.98 / $492.98	Facility		$480.49	$492.98	$492.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $401.03 / $429.09 / $555.29	Professional		$401.03	$429.09	$555.29
United Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $196.81 / $374.88	Professional		$181.67	$196.81	$374.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $135.31 / $239.88	Professional		$135.31	$135.31	$239.88