Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.71 / $777.95 / $812.22	Facility		$342.71	$777.95	$812.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.68 / $342.71 / $812.22	Professional		$263.68	$342.71	$812.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $461.77 / $1,054.73 / $2,777.21	Facility		$461.77	$1,054.73	$2,777.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $381.02 / $461.50 / $3,480.59	Professional		$381.02	$461.50	$3,480.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $329.53	Facility		$329.53	$329.53	$329.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $329.53	Professional		$240.56	$240.56	$329.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.69 / $560.60 / $1,445.11	Facility		$331.69	$560.60	$1,445.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.05 / $565.34 / $1,118.78	Professional		$332.05	$565.34	$1,118.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.85 / $404.28 / $444.70	Professional		$363.85	$404.28	$444.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $418.61 / $515.00 / $527.36	Facility		$418.61	$515.00	$527.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $474.62 / $527.36 / $527.36	Professional		$474.62	$527.36	$527.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.77 / $592.25 / $1,030.00	Facility		$461.77	$592.25	$1,030.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $501.95 / $515.00 / $515.00	Facility		$501.95	$515.00	$515.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $418.94 / $448.26 / $580.10	Professional		$418.94	$448.26	$580.10
United Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $394.64 / $501.95	Professional		$263.08	$394.64	$501.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.16 / $208.16 / $319.89	Professional		$208.16	$208.16	$319.89