Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.57 / $902.48 / $942.24	Facility		$397.57	$902.48	$942.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.88 / $397.57 / $942.24	Professional		$316.88	$397.57	$942.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $535.71 / $1,165.05 / $2,919.01	Facility		$535.71	$1,165.05	$2,919.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $435.68 / $532.27 / $3,156.12	Professional		$435.68	$532.27	$3,156.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.51 / $405.51 / $405.51	Facility		$405.51	$405.51	$405.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $296.02 / $405.51	Professional		$296.02	$296.02	$405.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $352.17 / $611.79 / $1,603.12	Facility		$352.17	$611.79	$1,603.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.55 / $618.96 / $1,188.29	Professional		$352.55	$618.96	$1,188.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $422.10 / $469.00 / $515.90	Professional		$422.10	$469.00	$515.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $485.63 / $597.46 / $633.76	Facility		$485.63	$597.46	$633.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $520.03 / $611.79 / $672.98	Professional		$520.03	$611.79	$672.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.71 / $687.08 / $1,194.92	Facility		$535.71	$687.08	$1,194.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $582.32 / $597.46 / $597.46	Facility		$582.32	$597.46	$597.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $520.03 / $672.98	Professional		$486.01	$520.03	$672.98
United Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $419.04 / $532.99	Professional		$279.36	$419.04	$532.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $340.52 / $520.03 / $520.03	Professional		$340.52	$520.03	$520.03