Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.56 / $627.79 / $655.45	Facility		$276.56	$627.79	$655.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $276.56 / $655.45	Professional		$223.00	$276.56	$655.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $768.84 / $1,903.31	Facility		$372.64	$768.84	$1,903.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $278.18 / $370.24 / $2,245.58	Professional		$278.18	$370.24	$2,245.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $228.28	Professional		$166.64	$166.64	$228.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.77 / $425.56 / $1,045.31	Facility		$229.77	$425.56	$1,045.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.02 / $420.59 / $774.54	Professional		$230.02	$420.59	$774.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.61 / $326.24 / $358.86	Professional		$293.61	$326.24	$358.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $337.79 / $415.59 / $446.00	Facility		$337.79	$415.59	$446.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $425.56 / $425.56 / $468.12	Professional		$425.56	$425.56	$468.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $477.93 / $831.18	Facility		$372.64	$477.93	$831.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $405.06 / $415.59 / $415.59	Facility		$405.06	$415.59	$415.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.07 / $361.73 / $468.12	Professional		$338.07	$361.73	$468.12
United Facility/Professional Professional Modifier Low / Median / High Price $182.26 / $273.38 / $347.72	Professional		$182.26	$273.38	$347.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $197.75 / $221.25	Professional		$197.75	$197.75	$221.25