Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.69 / $868.07 / $1,503.90	Facility		$467.69	$868.07	$1,503.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $467.69 / $1,109.76	Professional		$370.50	$467.69	$1,109.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.64 / $3,321.04 / $3,321.04	Facility		$1,799.64	$3,321.04	$3,321.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $498.96 / $886.00 / $3,166.97	Professional		$498.96	$886.00	$3,166.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $708.46 / $816.95 / $1,483.55	Facility		$708.46	$816.95	$1,483.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $745.80 / $1,229.80	Professional		$373.75	$745.80	$1,229.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $443.92 / $890.01 / $1,442.88	Facility		$443.92	$890.01	$1,442.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.92 / $890.01 / $1,442.88	Professional		$443.92	$890.01	$1,442.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $300.24 / $745.03	Professional		$65.56	$300.24	$745.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $544.90 / $707.52 / $891.00	Facility		$544.90	$707.52	$891.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.59 / $482.59 / $489.24	Facility		$482.59	$482.59	$489.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.13 / $831.49 / $1,005.31	Professional		$553.13	$831.49	$1,005.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $385.77 / $385.77 / $385.77	Facility		$385.77	$385.77	$385.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $498.96 / $730.75 / $1,063.17	Professional		$498.96	$730.75	$1,063.17
United Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $562.26 / $1,088.56	Professional		$341.43	$562.26	$1,088.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.75 / $379.75 / $379.75	Professional		$379.75	$379.75	$379.75