Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.07 / $558.58 / $583.19	Facility		$246.07	$558.58	$583.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $246.07 / $583.19	Professional		$213.64	$246.07	$583.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $331.57 / $647.12 / $1,976.32	Facility		$331.57	$647.12	$1,976.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $289.67 / $342.39 / $2,200.21	Professional		$289.67	$342.39	$2,200.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $277.45	Facility		$277.45	$277.45	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $202.54 / $277.45	Professional		$202.54	$202.54	$277.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $301.01 / $470.54 / $1,083.75	Facility		$301.01	$470.54	$1,083.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.01 / $466.52 / $815.90	Professional		$301.01	$466.52	$815.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $378.65 / $378.65	Professional		$60.00	$378.65	$378.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.78 / $378.65 / $427.28	Facility		$369.78	$378.65	$427.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.31 / $331.57 / $721.07	Facility		$314.31	$331.57	$721.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.31 / $342.39 / $454.83	Professional		$314.31	$342.39	$454.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $360.41 / $369.78 / $369.78	Facility		$360.41	$369.78	$369.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $300.81 / $321.85 / $416.52	Professional		$300.81	$321.85	$416.52
United Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $284.56 / $360.41	Professional		$188.91	$284.56	$360.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.69 / $321.85 / $321.85	Professional		$258.69	$321.85	$321.85