Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.90 / $748.87 / $781.86	Facility		$329.90	$748.87	$781.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.71 / $329.90 / $781.86	Professional		$213.71	$329.90	$781.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $444.52 / $939.89 / $2,143.81	Facility		$444.52	$939.89	$2,143.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $321.17 / $431.50 / $2,528.21	Professional		$321.17	$431.50	$2,528.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $299.52	Facility		$299.52	$299.52	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $299.52	Professional		$218.65	$218.65	$299.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.07 / $490.18 / $1,169.06	Facility		$257.07	$490.18	$1,169.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.35 / $482.27 / $866.39	Professional		$257.35	$482.27	$866.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $402.96 / $456.89 / $507.65	Facility		$402.96	$456.89	$507.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $427.42 / $507.65 / $507.65	Professional		$427.42	$507.65	$507.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.52 / $570.11 / $991.50	Facility		$444.52	$570.11	$991.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $483.19 / $495.75 / $495.75	Facility		$483.19	$495.75	$495.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $403.28 / $431.50 / $558.41	Professional		$403.28	$431.50	$558.41
United Facility/Professional Facility Modifier Low / Median / High Price $544.49 / $653.39 / $653.39	Facility		$544.49	$653.39	$653.39
United Facility/Professional Professional Modifier Low / Median / High Price $203.73 / $271.64 / $388.69	Professional		$203.73	$271.64	$388.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.57 / $167.57 / $431.50	Professional		$167.57	$167.57	$431.50