Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.72 / $821.10 / $857.28	Facility		$361.72	$821.10	$857.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.51 / $361.72 / $857.28	Professional		$228.51	$361.72	$857.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $487.39 / $1,059.94 / $2,281.13	Facility		$487.39	$1,059.94	$2,281.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $332.48 / $473.12 / $3,091.23	Professional		$332.48	$473.12	$3,091.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $360.86 / $360.86	Facility		$360.86	$360.86	$360.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $263.43 / $360.86	Professional		$263.43	$263.43	$360.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.44 / $528.78 / $1,198.11	Facility		$263.44	$528.78	$1,198.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.73 / $528.78 / $887.90	Professional		$263.73	$528.78	$887.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $384.03 / $426.70 / $469.37	Professional		$384.03	$426.70	$469.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $441.84 / $500.95 / $556.61	Facility		$441.84	$500.95	$556.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $457.02 / $500.95 / $556.61	Professional		$457.02	$500.95	$556.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.39 / $625.09 / $1,087.11	Facility		$487.39	$625.09	$1,087.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $529.79 / $543.55 / $543.55	Facility		$529.79	$543.55	$543.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $442.18 / $473.12 / $612.27	Professional		$442.18	$473.12	$612.27
United Facility/Professional Professional Modifier Low / Median / High Price $208.72 / $313.08 / $398.21	Professional		$208.72	$313.08	$398.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $88.47 / $473.12	Professional		$88.47	$88.47	$473.12