Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.02 / $896.70 / $936.20	Facility		$395.02	$896.70	$936.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $395.02 / $936.20	Professional		$294.14	$395.02	$936.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $532.27 / $1,157.56 / $2,807.91	Facility		$532.27	$1,157.56	$2,807.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $422.28 / $532.27 / $3,174.24	Professional		$422.28	$532.27	$3,174.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Facility		$393.88	$393.88	$393.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $419.51	Professional		$287.52	$287.52	$419.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.97 / $607.87 / $1,542.18	Facility		$338.97	$607.87	$1,542.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.34 / $607.87 / $1,142.77	Professional		$339.34	$607.87	$1,142.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $419.39 / $465.99 / $512.58	Professional		$419.39	$465.99	$512.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $588.27 / $607.87	Facility		$482.50	$588.27	$607.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $547.08 / $588.27 / $607.87	Professional		$547.08	$588.27	$607.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.27 / $682.66 / $1,187.24	Facility		$532.27	$682.66	$1,187.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $578.58 / $593.62 / $593.62	Facility		$578.58	$593.62	$593.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $482.89 / $516.69 / $668.66	Professional		$482.89	$516.69	$668.66
United Facility/Professional Professional Modifier Low / Median / High Price $268.73 / $403.10 / $512.71	Professional		$268.73	$403.10	$512.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $323.52	Professional		$260.20	$260.20	$323.52