Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.44 / $922.62 / $963.26	Facility		$406.44	$922.62	$963.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.14 / $406.44 / $963.26	Professional		$239.14	$406.44	$963.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $1,191.04 / $2,706.40	Facility		$547.66	$1,191.04	$2,706.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $398.14 / $531.63 / $3,134.29	Professional		$398.14	$531.63	$3,134.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $298.85	Facility		$298.85	$298.85	$298.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $218.16 / $298.85	Professional		$218.16	$218.16	$298.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $300.75 / $594.17 / $1,368.75	Facility		$300.75	$594.17	$1,368.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $594.17 / $1,014.51	Professional		$301.08	$594.17	$1,014.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $479.47 / $527.41	Professional		$431.52	$479.47	$527.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.06 / $610.79 / $625.45	Facility		$467.06	$610.79	$625.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $496.86 / $496.86 / $496.86	Professional		$496.86	$496.86	$496.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $702.41 / $1,221.58	Facility		$547.66	$702.41	$1,221.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $595.30 / $610.79 / $610.79	Facility		$595.30	$610.79	$610.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $496.86 / $531.63 / $688.00	Professional		$496.86	$531.63	$688.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.60 / $359.50 / $455.23	Professional		$238.60	$359.50	$455.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $531.63	Professional		$130.10	$130.10	$531.63