Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.97 / $805.78 / $841.28	Facility		$354.97	$805.78	$841.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $354.97 / $841.28	Professional		$282.89	$354.97	$841.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $478.30 / $1,040.19 / $2,615.79	Facility		$478.30	$1,040.19	$2,615.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $388.99 / $478.02 / $2,817.63	Professional		$388.99	$478.02	$2,817.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $264.27 / $362.03	Professional		$264.27	$264.27	$362.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $314.39 / $546.23 / $1,431.56	Facility		$314.39	$546.23	$1,431.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.75 / $552.59 / $1,060.84	Professional		$314.75	$552.59	$1,060.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $376.86 / $418.74 / $460.61	Professional		$376.86	$418.74	$460.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $433.59 / $533.42 / $565.79	Facility		$433.59	$533.42	$565.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $546.23 / $565.79	Professional		$433.93	$546.23	$565.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.30 / $613.44 / $1,066.85	Facility		$478.30	$613.44	$1,066.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $519.91 / $533.42 / $533.42	Facility		$519.91	$533.42	$533.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $464.30 / $600.85	Professional		$433.93	$464.30	$600.85
United Facility/Professional Professional Modifier Low / Median / High Price $249.43 / $374.14 / $475.87	Professional		$249.43	$374.14	$475.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.77 / $301.77 / $305.45	Professional		$301.77	$301.77	$305.45