Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.34 / $536.34 / $536.34	Facility		$536.34	$536.34	$536.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $531.47 / $536.34	Professional		$487.59	$531.47	$536.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $833.00 / $1,921.69	Facility		$487.59	$833.00	$1,921.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $438.83 / $487.59 / $3,067.88	Professional		$438.83	$487.59	$3,067.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.99 / $459.99 / $986.60	Facility		$459.99	$459.99	$986.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $597.98	Professional		$487.59	$487.59	$597.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $658.25	Facility		$487.59	$487.59	$658.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $658.25	Professional		$487.59	$487.59	$658.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $505.99 / $1,190.58	Facility		$487.59	$505.99	$1,190.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.23 / $813.40 / $813.40	Facility		$523.23	$813.40	$813.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $425.13 / $670.39	Professional		$376.07	$425.13	$670.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $463.21 / $487.59 / $487.59	Professional		$463.21	$487.59	$487.59
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $585.11	Professional		$487.59	$487.59	$585.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.64 / $487.59 / $487.59	Professional		$346.64	$487.59	$487.59