Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.04 / $846.80 / $884.11	Facility		$373.04	$846.80	$884.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.50 / $373.04 / $884.11	Professional		$300.50	$373.04	$884.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $484.03 / $1,538.98 / $2,901.23	Facility		$484.03	$1,538.98	$2,901.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $507.98 / $4,865.13	Professional		$415.00	$507.98	$4,865.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $347.13	Facility		$347.13	$347.13	$347.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $253.40 / $347.13	Professional		$253.40	$253.40	$347.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $337.61 / $574.62 / $1,514.79	Facility		$337.61	$574.62	$1,514.79
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 $381.39 / $423.77 / $466.14	Professional		$381.39	$423.77	$466.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.79 / $536.60 / $552.78	Facility		$438.79	$536.60	$552.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $439.14 / $536.60 / $608.05	Professional		$439.14	$536.60	$608.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.03 / $620.79 / $1,079.64	Facility		$484.03	$620.79	$1,079.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $526.14 / $539.82 / $539.82	Facility		$526.14	$539.82	$539.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $439.14 / $469.86 / $608.05	Professional		$439.14	$469.86	$608.05
United Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $268.14 / $510.75	Professional		$247.52	$268.14	$510.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $98.88 / $326.32	Professional		$98.88	$98.88	$326.32