Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.09 / $619.50 / $777.57	Facility		$328.09	$619.50	$777.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.99 / $328.09 / $567.60	Professional		$281.99	$328.09	$567.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $425.71 / $878.34 / $2,319.50	Facility		$425.71	$878.34	$2,319.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $352.49 / $425.71 / $2,507.67	Professional		$352.49	$425.71	$2,507.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.24 / $278.04 / $278.04	Facility		$177.24	$278.04	$278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $202.97 / $370.33	Professional		$202.97	$202.97	$370.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.20 / $504.11 / $1,332.18	Facility		$295.20	$504.11	$1,332.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.17 / $512.76 / $944.17	Professional		$312.17	$512.76	$944.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $372.69 / $409.95	Professional		$37.27	$372.69	$409.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.90 / $474.78 / $503.55	Facility		$385.90	$474.78	$503.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $386.21 / $486.17 / $503.55	Professional		$386.21	$486.17	$503.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.56 / $425.71 / $925.82	Facility		$403.56	$425.71	$925.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.56 / $439.61 / $546.00	Professional		$403.56	$439.61	$546.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $462.75 / $474.78 / $474.78	Facility		$462.75	$474.78	$474.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $386.21 / $413.24 / $534.79	Professional		$386.21	$413.24	$534.79
United Facility/Professional Facility Modifier Low / Median / High Price $171.04 / $220.01 / $284.23	Facility		$171.04	$220.01	$284.23
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $222.35 / $423.52	Professional		$205.24	$222.35	$423.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $413.24 / $413.24	Professional		$291.27	$413.24	$413.24