Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.92 / $705.79 / $736.88	Facility		$310.92	$705.79	$736.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.72 / $310.92 / $736.88	Professional		$277.72	$310.92	$736.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $418.94 / $849.73 / $2,220.15	Facility		$418.94	$849.73	$2,220.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $342.88 / $422.53 / $2,766.09	Professional		$342.88	$422.53	$2,766.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $327.20	Professional		$238.86	$238.86	$327.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $277.92 / $488.01 / $1,311.04	Facility		$277.92	$488.01	$1,311.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.57 / $482.21 / $888.73	Professional		$293.57	$482.21	$888.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.10 / $366.78 / $403.45	Professional		$330.10	$366.78	$403.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.78 / $467.23 / $555.44	Facility		$379.78	$467.23	$555.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $430.60 / $478.44 / $555.44	Professional		$430.60	$478.44	$555.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.15 / $418.94 / $911.10	Facility		$397.15	$418.94	$911.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.15 / $432.62 / $537.30	Professional		$397.15	$432.62	$537.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $455.39 / $467.23 / $467.23	Facility		$455.39	$467.23	$467.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.08 / $406.67 / $526.28	Professional		$380.08	$406.67	$526.28
United Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $276.08 / $321.95	Facility		$160.97	$276.08	$321.95
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $299.74 / $398.61	Professional		$208.93	$299.74	$398.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $278.57 / $278.57 / $406.67	Professional		$278.57	$278.57	$406.67