Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.62 / $519.95 / $853.67	Facility		$355.62	$519.95	$853.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.47 / $360.20 / $817.65	Professional		$264.47	$360.20	$817.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $467.36 / $1,238.99 / $2,114.14	Facility		$467.36	$1,238.99	$2,114.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $305.11 / $459.02 / $3,916.85	Professional		$305.11	$459.02	$3,916.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $254.74	Professional		$184.40	$184.40	$254.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $252.07 / $507.05 / $1,146.56	Facility		$252.07	$507.05	$1,146.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.34 / $507.05 / $849.84	Professional		$252.34	$507.05	$849.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $368.26 / $409.18 / $450.09	Professional		$368.26	$409.18	$450.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $423.69 / $480.37 / $533.74	Facility		$423.69	$480.37	$533.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $473.89 / $533.74 / $587.11	Professional		$473.89	$533.74	$587.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.36 / $599.41 / $1,042.46	Facility		$467.36	$599.41	$1,042.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $508.03 / $521.23 / $521.23	Facility		$508.03	$521.23	$521.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $424.02 / $453.68 / $587.11	Professional		$424.02	$453.68	$587.11
United Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $215.43 / $381.02	Professional		$184.65	$215.43	$381.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $192.55 / $242.52	Professional		$192.55	$192.55	$242.52