Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.76 / $571.50 / $596.66	Facility		$251.76	$571.50	$596.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.78 / $251.76 / $596.66	Professional		$223.78	$251.76	$596.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $326.67 / $1,116.90 / $2,011.56	Facility		$326.67	$1,116.90	$2,011.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $332.95 / $3,530.79	Professional		$275.00	$332.95	$3,530.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $291.02	Facility		$291.02	$291.02	$291.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $212.45 / $291.02	Professional		$212.45	$212.45	$291.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.78 / $396.80 / $1,022.29	Facility		$234.78	$396.80	$1,022.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.03 / $399.96 / $791.91	Professional		$235.03	$399.96	$791.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.39 / $285.99 / $314.58	Professional		$257.39	$285.99	$314.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.13 / $364.32 / $373.06	Facility		$296.13	$364.32	$373.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $296.36 / $373.06 / $373.06	Professional		$296.36	$373.06	$373.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.67 / $418.97 / $728.64	Facility		$326.67	$418.97	$728.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $355.09 / $364.32 / $364.32	Facility		$355.09	$364.32	$364.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.36 / $317.10 / $410.37	Professional		$296.36	$317.10	$410.37
United Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $184.46 / $238.31	Facility		$143.40	$184.46	$238.31
United Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $217.13 / $355.09	Professional		$172.08	$217.13	$355.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $285.70 / $285.70	Professional		$222.79	$285.70	$285.70