Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $740.57 / $773.19	Facility		$326.24	$740.57	$773.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $326.24 / $773.19	Professional		$304.58	$326.24	$773.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $439.59 / $956.01 / $2,588.55	Facility		$439.59	$956.01	$2,588.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $366.48 / $439.59 / $3,033.72	Professional		$366.48	$439.59	$3,033.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $340.42	Facility		$340.42	$340.42	$340.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $340.42	Professional		$248.51	$248.51	$340.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $315.77 / $533.67 / $1,375.68	Facility		$315.77	$533.67	$1,375.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.11 / $537.50 / $1,064.99	Professional		$316.11	$537.50	$1,064.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.37 / $384.86 / $423.34	Professional		$346.37	$384.86	$423.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.50 / $490.26 / $609.17	Facility		$398.50	$490.26	$609.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $451.83 / $502.03 / $609.17	Professional		$451.83	$502.03	$609.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.59 / $563.79 / $980.52	Facility		$439.59	$563.79	$980.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $477.84 / $490.26 / $490.26	Facility		$477.84	$490.26	$490.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.82 / $426.73 / $552.23	Professional		$398.82	$426.73	$552.23
United Facility/Professional Professional Modifier Low / Median / High Price $250.45 / $375.68 / $477.84	Professional		$250.45	$375.68	$477.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.19 / $225.19 / $306.70	Professional		$225.19	$225.19	$306.70