Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $644.07 / $672.44	Facility		$283.73	$644.07	$672.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.11 / $283.73 / $672.44	Professional		$226.11	$283.73	$672.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $382.31 / $831.42 / $2,083.02	Facility		$382.31	$831.42	$2,083.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $382.08 / $2,252.01	Professional		$310.89	$382.08	$2,252.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $318.35	Facility		$318.35	$318.35	$318.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $318.35	Professional		$232.40	$232.40	$318.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $265.44 / $453.29 / $1,196.35	Facility		$265.44	$453.29	$1,196.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.24 / $460.31 / $848.18	Professional		$280.24	$460.31	$848.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.23 / $334.70 / $368.17	Professional		$301.23	$334.70	$368.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.94 / $436.60 / $480.26	Facility		$392.94	$436.60	$480.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $346.84 / $346.84 / $346.84	Professional		$346.84	$346.84	$346.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.31 / $490.33 / $852.74	Facility		$382.31	$490.33	$852.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $415.57 / $426.37 / $426.37	Facility		$415.57	$426.37	$426.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.84 / $371.11 / $480.26	Professional		$346.84	$371.11	$480.26
United Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $299.02 / $380.35	Professional		$199.36	$299.02	$380.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $371.11 / $371.11	Professional		$243.00	$371.11	$371.11