Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.13 / $858.36 / $896.17	Facility		$378.13	$858.36	$896.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.11 / $378.13 / $896.17	Professional		$250.11	$378.13	$896.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $509.51 / $1,108.05 / $2,323.85	Facility		$509.51	$1,108.05	$2,323.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $494.59 / $2,880.26	Professional		$309.83	$494.59	$2,880.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $366.26	Facility		$366.26	$366.26	$366.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $366.26	Professional		$267.37	$267.37	$366.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $274.36 / $552.78 / $1,249.68	Facility		$274.36	$552.78	$1,249.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.66 / $552.78 / $926.80	Professional		$274.66	$552.78	$926.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $401.46 / $446.07 / $490.67	Professional		$401.46	$446.07	$490.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $461.88 / $523.67 / $581.87	Facility		$461.88	$523.67	$581.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $500.21 / $581.87 / $640.05	Professional		$500.21	$581.87	$640.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.51 / $653.46 / $1,136.46	Facility		$509.51	$653.46	$1,136.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $553.83 / $568.23 / $568.23	Facility		$553.83	$568.23	$568.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $462.25 / $494.59 / $640.05	Professional		$462.25	$494.59	$640.05
United Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $326.57 / $415.37	Professional		$217.72	$326.57	$415.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $234.18 / $266.11	Professional		$234.18	$234.18	$266.11