Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.08 / $624.42 / $651.94	Facility		$275.08	$624.42	$651.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.40 / $275.08 / $651.94	Professional		$243.40	$275.08	$651.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $370.66 / $852.76 / $1,955.07	Facility		$370.66	$852.76	$1,955.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.76 / $370.66 / $2,695.59	Professional		$290.76	$370.66	$2,695.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $274.64	Facility		$274.64	$274.64	$274.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $200.49 / $274.64	Professional		$200.49	$200.49	$274.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.77 / $423.31 / $1,045.31	Facility		$229.77	$423.31	$1,045.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.02 / $420.59 / $774.54	Professional		$230.02	$420.59	$774.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.06 / $324.52 / $356.97	Professional		$292.06	$324.52	$356.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $336.03 / $413.39 / $486.80	Facility		$336.03	$413.39	$486.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $336.29 / $423.31 / $486.80	Professional		$336.29	$423.31	$486.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.66 / $475.40 / $826.78	Facility		$370.66	$475.40	$826.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $402.91 / $413.39 / $413.39	Facility		$402.91	$413.39	$413.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $336.29 / $359.81 / $465.64	Professional		$336.29	$359.81	$465.64
United Facility/Professional Professional Modifier Low / Median / High Price $182.14 / $274.38 / $347.51	Professional		$182.14	$274.38	$347.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $220.24	Professional		$78.06	$78.06	$220.24