Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.51 / $451.00 / $610.29	Facility		$257.51	$451.00	$610.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.96 / $257.51 / $610.29	Professional		$221.96	$257.51	$610.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $346.98 / $780.38 / $2,034.82	Facility		$346.98	$780.38	$2,034.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $289.27 / $353.67 / $2,497.19	Professional		$289.27	$353.67	$2,497.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $273.14 / $273.14	Facility		$273.14	$273.14	$273.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $199.40 / $273.14	Professional		$199.40	$199.40	$273.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $259.20 / $442.63 / $1,116.56	Facility		$259.20	$442.63	$1,116.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $449.62 / $827.50	Professional		$273.73	$449.62	$827.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.40 / $303.77 / $334.15	Professional		$273.40	$303.77	$334.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.55 / $386.98 / $443.91	Facility		$314.55	$386.98	$443.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $356.64 / $396.27 / $443.91	Professional		$356.64	$396.27	$443.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.93 / $346.98 / $754.61	Facility		$328.93	$346.98	$754.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.93 / $358.31 / $445.03	Professional		$328.93	$358.31	$445.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $377.17 / $386.98 / $386.98	Facility		$377.17	$386.98	$386.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.80 / $336.83 / $435.90	Professional		$314.80	$336.83	$435.90
United Facility/Professional Professional Modifier Low / Median / High Price $194.66 / $293.29 / $371.38	Professional		$194.66	$293.29	$371.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.25 / $290.25 / $336.83	Professional		$290.25	$290.25	$336.83