Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.97 / $626.45 / $654.04	Facility		$275.97	$626.45	$654.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $275.97 / $654.04	Professional		$175.13	$275.97	$654.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $371.85 / $831.27 / $1,857.26	Facility		$371.85	$831.27	$1,857.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $360.96 / $2,627.87	Professional		$275.20	$360.96	$2,627.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $243.19	Facility		$243.19	$243.19	$243.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $177.53 / $243.19	Professional		$177.53	$177.53	$243.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $220.22 / $420.68 / $1,002.18	Facility		$220.22	$420.68	$1,002.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $406.88 / $743.09	Professional		$220.46	$406.88	$743.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.99 / $325.55 / $358.10	Professional		$292.99	$325.55	$358.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $337.09 / $382.19 / $424.66	Facility		$337.09	$382.19	$424.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $350.26 / $385.29 / $424.66	Professional		$350.26	$385.29	$424.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.85 / $476.92 / $829.42	Facility		$371.85	$476.92	$829.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.20 / $414.71 / $414.71	Facility		$404.20	$414.71	$414.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $337.36 / $360.96 / $467.13	Professional		$337.36	$360.96	$467.13
United Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $262.12 / $333.39	Professional		$174.74	$262.12	$333.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.71 / $145.71 / $218.27	Professional		$145.71	$145.71	$218.27