Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.18 / $772.21 / $806.23	Facility		$340.18	$772.21	$806.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.86 / $340.18 / $806.23	Professional		$268.86	$340.18	$806.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $458.37 / $945.72 / $2,277.66	Facility		$458.37	$945.72	$2,277.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $343.57 / $458.10 / $2,677.85	Professional		$343.57	$458.10	$2,677.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $260.88	Professional		$190.44	$190.44	$260.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $253.89 / $497.30 / $1,154.06	Facility		$253.89	$497.30	$1,154.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.16 / $497.30 / $855.63	Professional		$254.16	$497.30	$855.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $361.17 / $401.30 / $441.43	Professional		$361.17	$401.30	$441.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.51 / $511.20 / $537.72	Facility		$415.51	$511.20	$537.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $415.51 / $523.47 / $537.72	Professional		$415.51	$523.47	$537.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.37 / $587.88 / $1,022.40	Facility		$458.37	$587.88	$1,022.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $498.25 / $511.20 / $511.20	Facility		$498.25	$511.20	$511.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $415.85 / $444.95 / $575.82	Professional		$415.85	$444.95	$575.82
United Facility/Professional Professional Modifier Low / Median / High Price $201.20 / $303.07 / $383.86	Professional		$201.20	$303.07	$383.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $321.33 / $321.33	Professional		$321.33	$321.33	$321.33