Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.89 / $805.60 / $841.09	Facility		$354.89	$805.60	$841.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.69 / $354.89 / $841.09	Professional		$254.69	$354.89	$841.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $478.19 / $1,068.08 / $2,318.80	Facility		$478.19	$1,068.08	$2,318.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $337.16 / $469.65 / $3,376.71	Professional		$337.16	$469.65	$3,376.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $279.26	Facility		$279.26	$279.26	$279.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $203.86 / $279.26	Professional		$203.86	$203.86	$279.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $271.63 / $518.79 / $1,235.61	Facility		$271.63	$518.79	$1,235.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.93 / $518.79 / $916.04	Professional		$271.93	$518.79	$916.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $376.79 / $418.66 / $460.52	Professional		$376.79	$418.66	$460.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $433.50 / $509.38 / $546.10	Facility		$433.50	$509.38	$546.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $509.38 / $546.10	Professional		$433.84	$509.38	$546.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.19 / $613.29 / $1,066.59	Facility		$478.19	$613.29	$1,066.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $519.79 / $533.29 / $533.29	Facility		$519.79	$533.29	$533.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $464.19 / $600.71	Professional		$433.84	$464.19	$600.71
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $215.36 / $324.41 / $410.88	Professional		$215.36	$324.41	$410.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $104.08 / $269.00	Professional		$104.08	$104.08	$269.00