Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.37 / $702.27 / $733.21	Facility		$309.37	$702.27	$733.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.16 / $309.37 / $733.21	Professional		$207.16	$309.37	$733.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $416.86 / $861.51 / $2,227.59	Facility		$416.86	$861.51	$2,227.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $325.24 / $414.18 / $2,646.43	Professional		$325.24	$414.18	$2,646.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $274.52	Professional		$200.41	$200.41	$274.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $260.70 / $476.07 / $1,185.93	Facility		$260.70	$476.07	$1,185.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $476.07 / $878.80	Professional		$261.00	$476.07	$878.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.45 / $364.95 / $401.44	Professional		$328.45	$364.95	$401.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.89 / $428.46 / $476.07	Facility		$377.89	$428.46	$476.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $377.89 / $452.27 / $476.07	Professional		$377.89	$452.27	$476.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.86 / $534.65 / $929.82	Facility		$416.86	$534.65	$929.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $453.13 / $464.91 / $464.91	Facility		$453.13	$464.91	$464.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $378.19 / $404.66 / $523.67	Professional		$378.19	$404.66	$523.67
United Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $310.04 / $394.34	Professional		$206.69	$310.04	$394.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $213.89 / $404.66	Professional		$213.89	$213.89	$404.66