Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $666.86 / $696.24	Facility		$293.77	$666.86	$696.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.86 / $293.77 / $696.24	Professional		$218.86	$293.77	$696.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $395.84 / $872.72 / $2,310.33	Facility		$395.84	$872.72	$2,310.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $327.55 / $395.84 / $2,879.96	Professional		$327.55	$395.84	$2,879.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Facility		$311.77	$311.77	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $227.60 / $311.77	Professional		$227.60	$227.60	$311.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $274.36 / $467.46 / $1,238.77	Facility		$274.36	$467.46	$1,238.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.66 / $467.46 / $925.14	Professional		$274.66	$467.46	$925.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $311.90 / $346.56 / $381.21	Professional		$311.90	$346.56	$381.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $358.84 / $437.72 / $452.07	Facility		$358.84	$437.72	$452.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $406.86 / $452.07 / $452.07	Professional		$406.86	$452.07	$452.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.84 / $507.69 / $882.94	Facility		$395.84	$507.69	$882.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $430.28 / $441.47 / $441.47	Facility		$430.28	$441.47	$441.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $359.13 / $384.26 / $497.28	Professional		$359.13	$384.26	$497.28
United Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $327.93 / $415.33	Professional		$217.69	$327.93	$415.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $174.86 / $264.64	Professional		$174.86	$174.86	$264.64