Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.06 / $771.94 / $805.94	Facility		$340.06	$771.94	$805.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.26 / $340.06 / $805.94	Professional		$318.26	$340.06	$805.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $458.20 / $996.49 / $2,725.44	Facility		$458.20	$996.49	$2,725.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $333.93 / $455.25 / $3,474.60	Professional		$333.93	$455.25	$3,474.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $338.50	Facility		$338.50	$338.50	$338.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $247.11 / $338.50	Professional		$247.11	$247.11	$338.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $329.42 / $556.75 / $1,433.90	Facility		$329.42	$556.75	$1,433.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.78 / $560.28 / $1,110.50	Professional		$329.78	$560.28	$1,110.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $361.03 / $401.15 / $441.26	Professional		$361.03	$401.15	$441.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.36 / $511.02 / $697.71	Facility		$415.36	$511.02	$697.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $470.95 / $523.28 / $697.71	Professional		$470.95	$523.28	$697.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.20 / $587.66 / $1,022.04	Facility		$458.20	$587.66	$1,022.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $498.07 / $511.02 / $511.02	Facility		$498.07	$511.02	$511.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $415.70 / $444.79 / $575.61	Professional		$415.70	$444.79	$575.61
United Facility/Professional Professional Modifier Low / Median / High Price $261.06 / $393.34 / $498.07	Professional		$261.06	$393.34	$498.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $234.18 / $317.41	Professional		$234.18	$234.18	$317.41