Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.77 / $875.70 / $914.28	Facility		$385.77	$875.70	$914.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.72 / $385.77 / $914.28	Professional		$229.72	$385.77	$914.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $519.80 / $1,072.48 / $2,344.02	Facility		$519.80	$1,072.48	$2,344.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $343.98 / $504.59 / $2,938.52	Professional		$343.98	$504.59	$2,938.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $335.84	Facility		$335.84	$335.84	$335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $335.84	Professional		$245.16	$245.16	$335.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $280.27 / $563.96 / $1,275.00	Facility		$280.27	$563.96	$1,275.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.58 / $563.96 / $944.17	Professional		$280.58	$563.96	$944.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $409.57 / $455.08 / $500.58	Professional		$409.57	$455.08	$500.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $448.67 / $511.08 / $593.64	Facility		$448.67	$511.08	$593.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $459.44 / $534.28 / $593.64	Professional		$459.44	$534.28	$593.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.80 / $666.68 / $1,159.44	Facility		$519.80	$666.68	$1,159.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $565.03 / $579.72 / $579.72	Facility		$565.03	$579.72	$579.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $471.59 / $504.59 / $653.00	Professional		$471.59	$504.59	$653.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.12 / $333.18 / $423.77	Professional		$222.12	$333.18	$423.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $234.18 / $270.76	Professional		$234.18	$234.18	$270.76