Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.67 / $605.34 / $632.01	Facility		$266.67	$605.34	$632.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $266.67 / $632.01	Professional		$203.13	$266.67	$632.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $359.33 / $800.94 / $2,155.56	Facility		$359.33	$800.94	$2,155.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $299.57 / $379.18 / $2,600.06	Professional		$299.57	$379.18	$2,600.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $280.67	Professional		$204.89	$204.89	$280.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $255.71 / $434.70 / $1,124.53	Facility		$255.71	$434.70	$1,124.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.99 / $435.40 / $862.25	Professional		$255.99	$435.40	$862.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.13 / $314.58 / $346.04	Professional		$283.13	$314.58	$346.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.74 / $400.75 / $410.37	Facility		$325.74	$400.75	$410.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $369.33 / $410.37 / $446.89	Professional		$369.33	$410.37	$446.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.33 / $460.86 / $801.50	Facility		$359.33	$460.86	$801.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $390.59 / $400.75 / $400.75	Facility		$390.59	$400.75	$400.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $326.00 / $348.81 / $451.41	Professional		$326.00	$348.81	$451.41
United Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $305.38 / $386.69	Professional		$202.68	$305.38	$386.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $267.49 / $267.49 / $348.81	Professional		$267.49	$267.49	$348.81