Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.04 / $826.37 / $862.78	Facility		$364.04	$826.37	$862.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.10 / $364.04 / $912.60	Professional		$280.10	$364.04	$912.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $490.52 / $2,188.23 / $2,188.23	Facility		$490.52	$2,188.23	$2,188.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $327.13 / $616.21 / $3,077.25	Professional		$327.13	$616.21	$3,077.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $373.38 / $373.38	Facility		$373.38	$373.38	$373.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $317.37 / $373.38	Professional		$317.37	$317.37	$373.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $238.21 / $532.17 / $836.47	Facility		$238.21	$532.17	$836.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $532.17 / $891.21	Professional		$264.64	$532.17	$891.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $560.19 / $560.19	Professional		$60.00	$560.19	$560.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $504.17 / $547.05 / $616.21	Facility		$504.17	$547.05	$616.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $445.02 / $445.02 / $445.02	Professional		$445.02	$445.02	$445.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.52 / $490.52 / $907.03	Facility		$490.52	$490.52	$907.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $408.94 / $616.21 / $616.21	Professional		$408.94	$616.21	$616.21
United Facility/Professional Professional Modifier Low / Median / High Price $209.60 / $314.41 / $399.90	Professional		$209.60	$314.41	$399.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.34 / $476.16 / $476.16	Professional		$252.34	$476.16	$476.16