Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.28 / $361.19 / $856.02	Facility		$172.28	$361.19	$856.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $323.64 / $819.90	Professional		$162.50	$323.64	$819.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $468.65 / $1,113.23 / $2,563.00	Facility		$468.65	$1,113.23	$2,563.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $381.13 / $468.37 / $2,760.81	Professional		$381.13	$468.37	$2,760.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $336.03	Facility		$321.89	$336.03	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $347.12	Professional		$245.30	$245.30	$347.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $308.02 / $535.20 / $1,403.43	Facility		$308.02	$535.20	$1,403.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.37 / $541.39 / $1,039.33	Professional		$308.37	$541.39	$1,039.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $369.27 / $410.30 / $451.33	Professional		$369.27	$410.30	$451.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $424.84 / $522.66 / $554.38	Facility		$424.84	$522.66	$554.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $535.20 / $554.38	Professional		$454.92	$535.20	$554.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.65 / $601.05 / $1,045.32	Facility		$468.65	$601.05	$1,045.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $509.42 / $522.66 / $522.66	Facility		$509.42	$522.66	$522.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $425.18 / $454.92 / $588.72	Professional		$425.18	$454.92	$588.72
United Facility/Professional Professional Modifier Low / Median / High Price $225.96 / $267.01 / $466.26	Professional		$225.96	$267.01	$466.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.18 / $288.18 / $454.92	Professional		$288.18	$288.18	$454.92