Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.11 / $676.71 / $706.52	Facility		$298.11	$676.71	$706.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.57 / $298.11 / $706.52	Professional		$237.57	$298.11	$706.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $401.68 / $873.56 / $2,188.60	Facility		$401.68	$873.56	$2,188.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $326.66 / $401.44 / $2,366.19	Professional		$326.66	$401.44	$2,366.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $294.27	Facility		$294.27	$294.27	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $294.27	Professional		$214.82	$214.82	$294.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $264.35 / $458.73 / $1,201.86	Facility		$264.35	$458.73	$1,201.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $464.62 / $890.39	Professional		$264.64	$464.62	$890.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.50 / $351.67 / $386.83	Professional		$316.50	$351.67	$386.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $412.86 / $458.73 / $475.14	Facility		$412.86	$458.73	$475.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.68 / $515.17 / $895.96	Facility		$401.68	$515.17	$895.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.63 / $447.98 / $447.98	Facility		$436.63	$447.98	$447.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $364.43 / $389.92 / $504.60	Professional		$364.43	$389.92	$504.60
United Facility/Professional Facility Modifier Low / Median / High Price $161.38 / $276.79 / $322.77	Facility		$161.38	$276.79	$322.77
United Facility/Professional Professional Modifier Low / Median / High Price $209.46 / $314.19 / $399.63	Professional		$209.46	$314.19	$399.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.38 / $389.92 / $389.92	Professional		$282.38	$389.92	$389.92