Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.90 / $769.30 / $803.19	Facility		$338.90	$769.30	$803.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.36 / $338.90 / $803.19	Professional		$220.36	$338.90	$803.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $456.65 / $990.72 / $2,274.39	Facility		$456.65	$990.72	$2,274.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $443.28 / $2,581.46	Professional		$338.18	$443.28	$2,581.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $315.70	Facility		$315.70	$315.70	$315.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $315.70	Professional		$230.47	$230.47	$315.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $277.08 / $521.51 / $1,261.86	Facility		$277.08	$521.51	$1,261.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.39 / $507.67 / $935.07	Professional		$277.39	$507.67	$935.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $359.81 / $399.79 / $439.76	Professional		$359.81	$399.79	$439.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $413.96 / $469.36 / $521.51	Facility		$413.96	$469.36	$521.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $440.72 / $521.51 / $547.59	Professional		$440.72	$521.51	$547.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.65 / $585.67 / $1,018.58	Facility		$456.65	$585.67	$1,018.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $496.38 / $509.29 / $509.29	Facility		$496.38	$509.29	$509.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $414.29 / $443.28 / $573.66	Professional		$414.29	$443.28	$573.66
United Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $315.43 / $419.48	Professional		$219.87	$315.43	$419.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.43 / $239.43 / $443.28	Professional		$239.43	$239.43	$443.28