Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.77 / $1,239.48 / $4,080.79	Facility		$234.77	$1,239.48	$4,080.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $234.77 / $556.41	Professional		$155.47	$234.77	$556.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $316.33 / $1,565.88 / $1,565.88	Facility		$316.33	$1,565.88	$1,565.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $363.01 / $2,946.45	Professional		$186.42	$363.01	$2,946.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $274.27	Professional		$233.13	$233.13	$274.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $175.07 / $343.21 / $615.46	Facility		$175.07	$343.21	$615.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $355.93 / $655.38	Professional		$194.49	$355.93	$655.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $361.27 / $361.27	Professional		$60.00	$361.27	$361.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.39 / $352.80 / $361.27	Facility		$301.39	$352.80	$361.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $287.00 / $287.00	Professional		$287.00	$287.00	$287.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.33 / $316.33 / $584.94	Facility		$316.33	$316.33	$584.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.73 / $397.40 / $397.40	Professional		$263.73	$397.40	$397.40
United Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $230.96 / $293.75	Professional		$153.97	$230.96	$293.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $307.08 / $307.08	Professional		$186.42	$307.08	$307.08