Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.31 / $833.79 / $870.53	Facility		$367.31	$833.79	$870.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.50 / $367.31 / $870.53	Professional		$326.50	$367.31	$870.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $476.60 / $1,306.47 / $2,852.46	Facility		$476.60	$1,306.47	$2,852.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $397.33 / $476.60 / $4,130.01	Professional		$397.33	$476.60	$4,130.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $335.34	Facility		$335.34	$335.34	$335.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $244.80 / $371.65	Professional		$244.80	$244.80	$371.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $337.61 / $574.62 / $1,491.46	Facility		$337.61	$574.62	$1,491.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.98 / $574.62 / $1,138.64	Professional		$337.98	$574.62	$1,138.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $375.53 / $417.26 / $458.98	Professional		$375.53	$417.26	$458.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.04 / $531.53 / $593.77	Facility		$432.04	$531.53	$593.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $489.86 / $544.29 / $593.77	Professional		$489.86	$544.29	$593.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.60 / $611.26 / $1,063.06	Facility		$476.60	$611.26	$1,063.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $518.05 / $531.53 / $531.53	Facility		$518.05	$531.53	$531.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $432.39 / $462.65 / $598.72	Professional		$432.39	$462.65	$598.72
United Facility/Professional Professional Modifier Low / Median / High Price $249.53 / $267.73 / $510.80	Professional		$249.53	$267.73	$510.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.79 / $249.79 / $322.33	Professional		$249.79	$249.79	$322.33