Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.79 / $939.30 / $980.68	Facility		$413.79	$939.30	$980.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.83 / $413.79 / $980.68	Professional		$268.83	$413.79	$980.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $536.90 / $1,167.64 / $2,469.31	Facility		$536.90	$1,167.64	$2,469.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $350.37 / $521.19 / $3,369.92	Professional		$350.37	$521.19	$3,369.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $352.55	Professional		$257.36	$257.36	$352.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $289.38 / $582.50 / $1,317.18	Facility		$289.38	$582.50	$1,317.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.69 / $582.50 / $975.62	Professional		$289.69	$582.50	$975.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $470.05 / $517.05	Professional		$423.04	$470.05	$517.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $468.80 / $528.05 / $613.16	Facility		$468.80	$528.05	$613.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $480.05 / $551.84 / $613.16	Professional		$480.05	$551.84	$613.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.90 / $688.61 / $1,197.58	Facility		$536.90	$688.61	$1,197.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $583.61 / $598.79 / $598.79	Facility		$583.61	$598.79	$598.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $487.10 / $521.19 / $674.48	Professional		$487.10	$521.19	$674.48
United Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $247.47 / $437.71	Professional		$212.12	$247.47	$437.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.43 / $189.43 / $521.19	Professional		$189.43	$189.43	$521.19