Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.97 / $494.00 / $668.27	Facility		$281.97	$494.00	$668.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.72 / $281.97 / $668.27	Professional		$224.72	$281.97	$668.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $379.94 / $826.27 / $2,070.19	Facility		$379.94	$826.27	$2,070.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $309.00 / $379.71 / $2,238.21	Professional		$309.00	$379.71	$2,238.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $286.80	Professional		$209.36	$209.36	$286.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $450.01 / $1,189.02	Facility		$263.52	$450.01	$1,189.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.69 / $457.77 / $843.22	Professional		$278.69	$457.77	$843.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.37 / $332.64 / $365.90	Professional		$299.37	$332.64	$365.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.43 / $423.73 / $449.44	Facility		$344.43	$423.73	$449.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $368.82 / $433.90 / $449.44	Professional		$368.82	$433.90	$449.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.94 / $487.29 / $847.46	Facility		$379.94	$487.29	$847.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $412.99 / $423.73 / $423.73	Facility		$412.99	$423.73	$423.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $344.70 / $368.82 / $477.29	Professional		$344.70	$368.82	$477.29
United Facility/Professional Professional Modifier Low / Median / High Price $198.13 / $297.20 / $378.01	Professional		$198.13	$297.20	$378.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $368.82 / $368.82	Professional		$267.12	$368.82	$368.82