Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.08 / $592.66 / $618.78	Facility		$261.08	$592.66	$618.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.16 / $261.08 / $618.78	Professional		$204.16	$261.08	$618.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $351.80 / $765.08 / $1,897.69	Facility		$351.80	$765.08	$1,897.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $284.44 / $351.80 / $2,201.52	Professional		$284.44	$351.80	$2,201.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $292.48	Facility		$292.48	$292.48	$292.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $213.51 / $292.48	Professional		$213.51	$213.51	$292.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $228.86 / $401.77 / $1,042.50	Facility		$228.86	$401.77	$1,042.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.11 / $402.24 / $772.05	Professional		$229.11	$402.24	$772.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $308.00 / $338.80	Professional		$277.20	$308.00	$338.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $318.91 / $392.35 / $408.31	Facility		$318.91	$392.35	$408.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $341.50 / $401.77 / $408.31	Professional		$341.50	$401.77	$408.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.80 / $451.20 / $784.70	Facility		$351.80	$451.20	$784.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $382.41 / $392.35 / $392.35	Facility		$382.41	$392.35	$392.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $319.17 / $341.50 / $441.95	Professional		$319.17	$341.50	$441.95
United Facility/Professional Professional Modifier Low / Median / High Price $181.55 / $272.33 / $346.39	Professional		$181.55	$272.33	$346.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.90 / $175.90 / $341.50	Professional		$175.90	$175.90	$341.50