Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.18 / $729.08 / $761.20	Facility		$321.18	$729.08	$761.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.71 / $321.18 / $761.20	Professional		$245.71	$321.18	$761.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $432.77 / $892.90 / $1,982.96	Facility		$432.77	$892.90	$1,982.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $295.99 / $429.98 / $2,447.21	Professional		$295.99	$429.98	$2,447.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $239.78	Professional		$175.04	$175.04	$239.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $233.41 / $469.52 / $1,061.25	Facility		$233.41	$469.52	$1,061.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.67 / $469.52 / $786.12	Professional		$233.67	$469.52	$786.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $340.99 / $378.88 / $416.76	Professional		$340.99	$378.88	$416.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.31 / $482.65 / $494.23	Facility		$392.31	$482.65	$494.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $491.41 / $494.23 / $543.65	Professional		$491.41	$494.23	$543.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.77 / $555.04 / $965.30	Facility		$432.77	$555.04	$965.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $470.42 / $482.65 / $482.65	Facility		$470.42	$482.65	$482.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.62 / $420.10 / $543.65	Professional		$392.62	$420.10	$543.65
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $184.93 / $277.39 / $352.81	Professional		$184.93	$277.39	$352.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.09 / $219.09 / $224.02	Professional		$219.09	$219.09	$224.02