Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.41 / $720.52 / $752.26	Facility		$317.41	$720.52	$752.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.21 / $317.41 / $752.26	Professional		$244.21	$317.41	$752.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $427.68 / $1,907.92 / $1,907.92	Facility		$427.68	$1,907.92	$1,907.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $512.84 / $2,682.98	Professional		$280.50	$512.84	$2,682.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $228.90	Facility		$228.90	$228.90	$228.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $228.90	Professional		$194.57	$194.57	$228.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.87 / $464.00 / $729.93	Facility		$207.87	$464.00	$729.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $464.00 / $777.85	Professional		$230.93	$464.00	$777.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $488.42 / $488.42	Professional		$60.00	$488.42	$488.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $439.58 / $476.98 / $537.26	Facility		$439.58	$476.98	$537.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $347.81 / $388.01 / $388.01	Professional		$347.81	$388.01	$388.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.68 / $427.68 / $790.83	Facility		$427.68	$427.68	$790.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.55 / $537.26 / $537.26	Professional		$356.55	$537.26	$537.26
United Facility/Professional Professional Modifier Low / Median / High Price $182.75 / $274.13 / $348.67	Professional		$182.75	$274.13	$348.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.02 / $415.16 / $415.16	Professional		$220.02	$415.16	$415.16