Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $596.51 / $622.79	Facility		$262.77	$596.51	$622.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $262.77 / $622.79	Professional		$245.94	$262.77	$622.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $354.08 / $2,076.44 / $2,076.44	Facility		$354.08	$2,076.44	$2,076.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $295.19 / $444.81 / $2,961.68	Professional		$295.19	$444.81	$2,961.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Facility		$252.68	$252.68	$252.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $252.68	Professional		$194.10	$194.10	$252.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.19 / $410.14 / $805.65	Facility		$229.19	$410.14	$805.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.62 / $432.86 / $858.11	Professional		$254.62	$432.86	$858.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $404.37 / $404.37	Professional		$60.00	$404.37	$404.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.93 / $404.37 / $531.57	Facility		$363.93	$404.37	$531.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.08 / $354.08 / $654.73	Facility		$354.08	$354.08	$654.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.19 / $444.81 / $444.81	Professional		$295.19	$444.81	$444.81
United Facility/Professional Professional Modifier Low / Median / High Price $201.73 / $303.88 / $384.88	Professional		$201.73	$303.88	$384.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.86 / $343.71 / $343.71	Professional		$242.86	$343.71	$343.71