Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,481.76 / $1,649.26	Facility		$230.00	$1,481.76	$1,649.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.50 / $230.00 / $499.00	Professional		$177.50	$230.00	$499.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $298.43 / $861.15 / $1,920.53	Facility		$298.43	$861.15	$1,920.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $248.79 / $332.82 / $2,381.81	Professional		$248.79	$332.82	$2,381.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $243.27	Facility		$229.50	$229.50	$243.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $243.27	Professional		$167.54	$167.54	$243.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $214.30 / $365.36 / $933.93	Facility		$214.30	$365.36	$933.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $365.36 / $723.23	Professional		$214.54	$365.36	$723.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.13 / $261.26 / $287.38	Professional		$235.13	$261.26	$287.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $270.52 / $332.82 / $340.81	Facility		$270.52	$332.82	$340.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $340.81 / $340.81	Professional		$270.74	$340.81	$340.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.43 / $382.74 / $665.64	Facility		$298.43	$382.74	$665.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $324.39 / $332.82 / $332.82	Facility		$324.39	$332.82	$332.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $289.69 / $374.89	Professional		$270.74	$289.69	$374.89
United Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $170.30 / $324.39	Professional		$157.19	$170.30	$324.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $289.69	Professional		$130.10	$130.10	$289.69