Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.27 / $747.44 / $780.37	Facility		$329.27	$747.44	$780.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.95 / $329.27 / $780.37	Professional		$268.95	$329.27	$780.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $443.67 / $915.40 / $2,350.53	Facility		$443.67	$915.40	$2,350.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $344.33 / $440.82 / $2,803.83	Professional		$344.33	$440.82	$2,803.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $271.77	Facility		$271.77	$271.77	$271.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $198.39 / $271.77	Professional		$198.39	$198.39	$271.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $506.69 / $1,245.93	Facility		$273.45	$506.69	$1,245.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.75 / $501.05 / $922.66	Professional		$273.75	$501.05	$922.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $349.57 / $388.42 / $427.26	Professional		$349.57	$388.42	$427.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $402.18 / $494.81 / $537.91	Facility		$402.18	$494.81	$537.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $402.18 / $506.69 / $537.91	Professional		$402.18	$506.69	$537.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.67 / $569.03 / $989.62	Facility		$443.67	$569.03	$989.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $482.27 / $494.81 / $494.81	Facility		$482.27	$494.81	$494.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $402.51 / $430.69 / $557.36	Professional		$402.51	$430.69	$557.36
United Facility/Professional Professional Modifier Low / Median / High Price $216.98 / $325.48 / $413.98	Professional		$216.98	$325.48	$413.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.02 / $230.02 / $263.39	Professional		$230.02	$230.02	$263.39