Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.01 / $946.61 / $988.31	Facility		$417.01	$946.61	$988.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.30 / $417.01 / $988.31	Professional		$363.30	$417.01	$988.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $541.09 / $1,176.73 / $2,832.34	Facility		$541.09	$1,176.73	$2,832.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $417.55 / $537.60 / $3,651.93	Professional		$417.55	$537.60	$3,651.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $373.35	Facility		$373.35	$373.35	$373.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $373.35	Professional		$272.55	$272.55	$373.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $328.96 / $617.92 / $1,497.18	Facility		$328.96	$617.92	$1,497.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.32 / $602.38 / $1,109.67	Professional		$329.32	$602.38	$1,109.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.33 / $473.71 / $521.08	Professional		$426.33	$473.71	$521.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $490.50 / $603.45 / $683.89	Facility		$490.50	$603.45	$683.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $556.14 / $617.92 / $683.89	Professional		$556.14	$617.92	$683.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.09 / $693.97 / $1,206.90	Facility		$541.09	$693.97	$1,206.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $588.16 / $603.45 / $603.45	Facility		$588.16	$603.45	$603.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $490.89 / $525.24 / $679.72	Professional		$490.89	$525.24	$679.72
United Facility/Professional Professional Modifier Low / Median / High Price $241.18 / $261.27 / $497.67	Professional		$241.18	$261.27	$497.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.93 / $381.98 / $381.98	Professional		$319.93	$381.98	$381.98