Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.77 / $834.84 / $871.62	Facility		$367.77	$834.84	$871.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.35 / $367.77 / $834.84	Professional		$294.35	$367.77	$834.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $477.20 / $1,233.96 / $2,802.95	Facility		$477.20	$1,233.96	$2,802.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $397.84 / $495.15 / $3,204.58	Professional		$397.84	$495.15	$3,204.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $328.44 / $328.44	Facility		$328.44	$328.44	$328.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $239.76 / $328.44	Professional		$239.76	$239.76	$328.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $330.78 / $562.80 / $1,493.32	Facility		$330.78	$562.80	$1,493.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.14 / $562.80 / $1,115.47	Professional		$331.14	$562.80	$1,115.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $375.99 / $417.77 / $459.54	Professional		$375.99	$417.77	$459.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.58 / $525.62 / $544.98	Facility		$432.58	$525.62	$544.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $490.48 / $544.98 / $544.98	Professional		$490.48	$544.98	$544.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.20 / $612.04 / $1,064.42	Facility		$477.20	$612.04	$1,064.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $518.72 / $532.21 / $532.21	Facility		$518.72	$532.21	$532.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $432.92 / $463.23 / $599.48	Professional		$432.92	$463.23	$599.48
United Facility/Professional Professional Modifier Low / Median / High Price $242.45 / $262.64 / $500.30	Professional		$242.45	$262.64	$500.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $355.96 / $355.96	Professional		$319.70	$355.96	$355.96