Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.58 / $571.09 / $596.25	Facility		$251.58	$571.09	$596.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.62 / $251.58 / $596.25	Professional		$223.62	$251.58	$596.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $326.43 / $940.67 / $1,940.98	Facility		$326.43	$940.67	$1,940.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $269.35 / $326.43 / $2,973.74	Professional		$269.35	$326.43	$2,973.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Facility		$230.92	$230.92	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $230.92	Professional		$168.57	$168.57	$230.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $232.50 / $394.91 / $1,021.53	Facility		$232.50	$394.91	$1,021.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $395.74 / $784.47	Professional		$232.76	$395.74	$784.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.20 / $285.77 / $314.35	Professional		$257.20	$285.77	$314.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.91 / $364.06 / $444.83	Facility		$295.91	$364.06	$444.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $354.16 / $372.80 / $444.83	Professional		$354.16	$372.80	$444.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.43 / $418.67 / $728.12	Facility		$326.43	$418.67	$728.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.83 / $364.06 / $364.06	Facility		$354.83	$364.06	$364.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $316.88 / $410.08	Professional		$296.14	$316.88	$410.08
United Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $198.87 / $351.75	Professional		$170.46	$198.87	$351.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $189.95 / $316.88	Professional		$189.95	$189.95	$316.88