Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.19 / $685.97 / $716.19	Facility		$302.19	$685.97	$716.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.10 / $302.19 / $716.19	Professional		$200.10	$302.19	$716.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $407.18 / $885.51 / $2,089.06	Facility		$407.18	$885.51	$2,089.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $311.68 / $398.05 / $2,347.44	Professional		$311.68	$398.05	$2,347.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $306.16	Facility		$306.16	$306.16	$306.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $306.16	Professional		$223.50	$223.50	$306.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $250.25 / $465.01 / $1,139.06	Facility		$250.25	$465.01	$1,139.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $458.78 / $844.87	Professional		$250.52	$458.78	$844.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.82 / $356.47 / $392.11	Professional		$320.82	$356.47	$392.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.11 / $418.51 / $465.01	Facility		$369.11	$418.51	$465.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $400.19 / $465.01 / $465.01	Professional		$400.19	$465.01	$465.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.18 / $522.23 / $908.22	Facility		$407.18	$522.23	$908.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $442.60 / $454.11 / $454.11	Facility		$442.60	$454.11	$454.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $369.40 / $395.26 / $511.51	Professional		$369.40	$395.26	$511.51
United Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $306.01 / $378.88	Professional		$198.59	$306.01	$378.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $218.57 / $240.07	Professional		$218.57	$218.57	$240.07