Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.31 / $740.72 / $773.36	Facility		$326.31	$740.72	$773.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.56 / $326.31 / $773.36	Professional		$217.56	$326.31	$773.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $439.68 / $956.20 / $2,359.33	Facility		$439.68	$956.20	$2,359.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $342.27 / $426.81 / $2,871.79	Professional		$342.27	$426.81	$2,871.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $274.54	Facility		$274.54	$274.54	$274.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $305.19	Professional		$200.41	$200.41	$305.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $273.91 / $502.13 / $1,245.93	Facility		$273.91	$502.13	$1,245.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.20 / $501.56 / $923.49	Professional		$274.20	$501.56	$923.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.44 / $384.94 / $423.43	Professional		$346.44	$384.94	$423.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.58 / $451.92 / $502.13	Facility		$398.58	$451.92	$502.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $435.12 / $502.13 / $502.13	Professional		$435.12	$502.13	$502.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.68 / $563.91 / $980.72	Facility		$439.68	$563.91	$980.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $477.93 / $490.36 / $490.36	Facility		$477.93	$490.36	$490.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.90 / $426.81 / $552.34	Professional		$398.90	$426.81	$552.34
United Facility/Professional Professional Modifier Low / Median / High Price $217.07 / $327.07 / $414.15	Professional		$217.07	$327.07	$414.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.14 / $182.14 / $263.79	Professional		$182.14	$182.14	$263.79