Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.24 / $715.60 / $747.12	Facility		$315.24	$715.60	$747.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.92 / $315.24 / $747.12	Professional		$226.92	$315.24	$747.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $409.03 / $912.77 / $2,141.94	Facility		$409.03	$912.77	$2,141.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $315.75 / $406.40 / $2,668.05	Professional		$315.75	$406.40	$2,668.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Facility		$253.20	$253.20	$253.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $284.62	Professional		$184.84	$184.84	$284.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $254.80 / $467.13 / $1,159.68	Facility		$254.80	$467.13	$1,159.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $466.93 / $859.77	Professional		$255.08	$466.93	$859.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $322.29 / $358.10 / $393.91	Professional		$322.29	$358.10	$393.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $420.42 / $467.13	Facility		$370.80	$420.42	$467.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $405.22 / $467.13 / $467.13	Professional		$405.22	$467.13	$467.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.03 / $524.61 / $912.36	Facility		$409.03	$524.61	$912.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $444.62 / $456.18 / $456.18	Facility		$444.62	$456.18	$456.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.09 / $397.06 / $513.84	Professional		$371.09	$397.06	$513.84
United Facility/Professional Professional Modifier Low / Median / High Price $186.91 / $202.49 / $385.69	Professional		$186.91	$202.49	$385.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.96 / $202.96 / $246.42	Professional		$202.96	$202.96	$246.42