Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.16 / $858.42 / $896.24	Facility		$378.16	$858.42	$896.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.45 / $378.16 / $896.24	Professional		$260.45	$378.16	$896.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $490.68 / $1,376.21 / $2,531.55	Facility		$490.68	$1,376.21	$2,531.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $356.06 / $481.92 / $4,350.60	Professional		$356.06	$481.92	$4,350.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $290.63	Facility		$290.63	$290.63	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $290.63	Professional		$212.16	$212.16	$290.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $292.56 / $558.08 / $1,332.18	Facility		$292.56	$558.08	$1,332.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.88 / $536.90 / $987.20	Professional		$292.88	$536.90	$987.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $386.63 / $429.59 / $472.54	Professional		$386.63	$429.59	$472.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $444.81 / $504.33 / $560.37	Facility		$444.81	$504.33	$560.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $465.10 / $560.37 / $560.37	Professional		$465.10	$560.37	$560.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.68 / $629.33 / $1,094.48	Facility		$490.68	$629.33	$1,094.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $533.37 / $547.24 / $547.24	Facility		$533.37	$547.24	$547.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $445.17 / $476.31 / $616.41	Professional		$445.17	$476.31	$616.41
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $232.41 / $442.69	Professional		$214.54	$232.41	$442.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.73 / $171.73 / $476.31	Professional		$171.73	$171.73	$476.31