Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.20 / $697.34 / $728.06	Facility		$307.20	$697.34	$728.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.33 / $307.20 / $728.06	Professional		$267.33	$307.20	$728.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $398.60 / $879.23 / $1,873.73	Facility		$398.60	$879.23	$1,873.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $275.56 / $386.94 / $2,779.43	Professional		$275.56	$386.94	$2,779.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $227.07	Facility		$227.07	$227.07	$227.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $227.07	Professional		$165.76	$165.76	$227.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $225.22 / $432.46 / $1,025.61	Facility		$225.22	$432.46	$1,025.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.47 / $432.46 / $759.64	Professional		$225.47	$432.46	$759.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.07 / $348.97 / $383.86	Professional		$314.07	$348.97	$383.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.34 / $444.55 / $477.38	Facility		$361.34	$444.55	$477.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $432.46 / $455.22 / $500.74	Professional		$432.46	$455.22	$500.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.60 / $511.23 / $889.10	Facility		$398.60	$511.23	$889.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $433.28 / $444.55 / $444.55	Facility		$433.28	$444.55	$444.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $361.63 / $386.94 / $500.74	Professional		$361.63	$386.94	$500.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.14 / $178.91 / $340.78	Professional		$165.14	$178.91	$340.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $220.65 / $386.94	Professional		$220.65	$220.65	$386.94