Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.22 / $701.93 / $732.85	Facility		$309.22	$701.93	$732.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.58 / $309.22 / $732.85	Professional		$191.58	$309.22	$732.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $416.66 / $892.31 / $2,036.64	Facility		$416.66	$892.31	$2,036.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $306.52 / $404.46 / $2,452.17	Professional		$306.52	$404.46	$2,452.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $305.27	Facility		$305.27	$305.27	$305.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $222.85 / $305.27	Professional		$222.85	$222.85	$305.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $241.15 / $459.41 / $1,096.86	Facility		$241.15	$459.41	$1,096.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.41 / $452.19 / $812.60	Professional		$241.41	$452.19	$812.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.29 / $364.77 / $401.24	Professional		$328.29	$364.77	$401.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.18 / $421.47 / $475.84	Facility		$374.18	$421.47	$475.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $383.15 / $452.05 / $475.84	Professional		$383.15	$452.05	$475.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.66 / $534.39 / $929.38	Facility		$416.66	$534.39	$929.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $452.91 / $464.69 / $464.69	Facility		$452.91	$464.69	$464.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $404.46 / $523.41	Professional		$378.00	$404.46	$523.41
United Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $286.73 / $364.69	Professional		$191.15	$286.73	$364.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.44 / $253.44 / $404.46	Professional		$253.44	$253.44	$404.46