Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.73 / $898.31 / $937.88	Facility		$395.73	$898.31	$937.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $395.73 / $937.88	Professional		$303.39	$395.73	$937.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $533.22 / $1,159.63 / $2,775.01	Facility		$533.22	$1,159.63	$2,775.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $416.66 / $527.65 / $3,149.47	Professional		$416.66	$527.65	$3,149.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $402.09	Facility		$402.09	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $402.09	Professional		$293.52	$293.52	$402.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $332.15 / $608.95 / $1,510.31	Facility		$332.15	$608.95	$1,510.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.51 / $607.98 / $1,119.59	Professional		$332.51	$607.98	$1,119.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $420.15 / $466.84 / $513.52	Professional		$420.15	$466.84	$513.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $483.38 / $594.67 / $608.95	Facility		$483.38	$594.67	$608.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $548.05 / $608.95 / $667.48	Professional		$548.05	$608.95	$667.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.22 / $683.88 / $1,189.35	Facility		$533.22	$683.88	$1,189.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $579.61 / $594.67 / $594.67	Facility		$579.61	$594.67	$594.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $483.77 / $517.61 / $669.85	Professional		$483.77	$517.61	$669.85
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.24 / $396.54 / $502.23	Professional		$263.24	$396.54	$502.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.18 / $280.18 / $322.36	Professional		$280.18	$280.18	$322.36