Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.20 / $511.20 / $533.72	Facility		$225.20	$511.20	$533.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $225.20 / $4,815.52	Professional		$118.02	$225.20	$4,815.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $313.93 / $461.36 / $1,226.58	Facility		$313.93	$461.36	$1,226.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $213.54 / $527.29 / $2,017.35	Professional		$213.54	$527.29	$2,017.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $217.31 / $461.11 / $625.66	Facility		$217.31	$461.11	$625.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.31 / $461.11 / $657.03	Professional		$217.31	$461.11	$657.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $381.15 / $457.81 / $464.31	Facility		$381.15	$457.81	$464.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.93 / $313.93 / $316.70	Facility		$313.93	$313.93	$316.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.14 / $502.15 / $628.62	Professional		$321.14	$502.15	$628.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.35 / $346.02 / $632.17	Facility		$288.35	$346.02	$632.17
United Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $234.84 / $376.59	Professional		$150.06	$234.84	$376.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $301.04 / $301.04	Professional		$301.04	$301.04	$301.04