Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.73 / $596.40 / $622.66	Facility		$262.73	$596.40	$622.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.39 / $262.73 / $622.66	Professional		$209.39	$262.73	$622.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $354.01 / $769.90 / $1,928.91	Facility		$354.01	$769.90	$1,928.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $353.81 / $2,085.52	Professional		$287.89	$353.81	$2,085.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $195.60 / $267.94	Professional		$195.60	$195.60	$267.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $245.76 / $419.68 / $1,107.84	Facility		$245.76	$419.68	$1,107.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.47 / $426.20 / $785.29	Professional		$259.47	$426.20	$785.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.93 / $309.93 / $340.92	Professional		$278.93	$309.93	$340.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.87 / $404.30 / $418.78	Facility		$363.87	$404.30	$418.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $321.17 / $321.17 / $321.17	Professional		$321.17	$321.17	$321.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.01 / $454.04 / $789.64	Facility		$354.01	$454.04	$789.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $384.81 / $394.82 / $394.82	Facility		$384.81	$394.82	$394.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $321.17 / $343.66 / $444.73	Professional		$321.17	$343.66	$444.73
United Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $284.45 / $352.20	Professional		$184.60	$284.45	$352.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.87 / $343.66 / $343.66	Professional		$248.87	$343.66	$343.66