Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.98 / $844.40 / $881.59	Facility		$371.98	$844.40	$881.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.54 / $333.31 / $571.53	Professional		$279.54	$333.31	$571.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $482.66 / $1,146.54 / $2,629.88	Facility		$482.66	$1,146.54	$2,629.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $392.53 / $482.38 / $2,843.18	Professional		$392.53	$482.38	$2,843.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $315.25	Facility		$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $230.13 / $315.25	Professional		$230.13	$230.13	$315.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $317.58 / $551.21 / $1,444.68	Facility		$317.58	$551.21	$1,444.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.93 / $558.19 / $1,070.78	Professional		$317.93	$558.19	$1,070.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.30 / $422.56 / $464.81	Professional		$380.30	$422.56	$464.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $437.54 / $538.29 / $570.91	Facility		$437.54	$538.29	$570.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $468.53 / $551.21 / $570.91	Professional		$468.53	$551.21	$570.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.66 / $619.03 / $1,076.58	Facility		$482.66	$619.03	$1,076.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $524.65 / $538.29 / $538.29	Facility		$524.65	$538.29	$538.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $468.53 / $606.33	Professional		$437.89	$468.53	$606.33
United Facility/Professional Professional Modifier Low / Median / High Price $232.71 / $251.69 / $480.20	Professional		$232.71	$251.69	$480.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Professional		$230.00	$230.00	$230.00