Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.92 / $871.50 / $909.89	Facility		$383.92	$871.50	$909.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.74 / $383.92 / $664.18	Professional		$312.74	$383.92	$664.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $498.15 / $1,027.80 / $2,714.31	Facility		$498.15	$1,027.80	$2,714.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $415.30 / $502.42 / $2,934.66	Professional		$415.30	$502.42	$2,934.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $433.20	Professional		$237.52	$237.52	$433.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $345.60 / $590.17 / $1,558.92	Facility		$345.60	$590.17	$1,558.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.18 / $599.83 / $1,104.71	Professional		$365.18	$599.83	$1,104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $392.50 / $436.12 / $479.73	Professional		$392.50	$436.12	$479.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $451.58 / $555.57 / $589.29	Facility		$451.58	$555.57	$589.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $512.01 / $568.90 / $589.29	Professional		$512.01	$568.90	$589.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.23 / $498.15 / $1,083.35	Facility		$472.23	$498.15	$1,083.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.23 / $514.41 / $638.91	Professional		$472.23	$514.41	$638.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $541.49 / $555.57 / $555.57	Facility		$541.49	$555.57	$555.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $451.94 / $483.57 / $625.79	Professional		$451.94	$483.57	$625.79
United Facility/Professional Professional Modifier Low / Median / High Price $240.19 / $300.23 / $495.62	Professional		$240.19	$300.23	$495.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $483.56 / $483.56	Professional		$316.64	$483.56	$483.56