Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.79 / $1,134.88 / $3,744.43	Facility		$638.79	$1,134.88	$3,744.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $638.79 / $1,005.76	Professional		$407.74	$638.79	$1,005.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $713.55 / $1,115.17 / $3,227.96	Facility		$713.55	$1,115.17	$3,227.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $397.01 / $713.55 / $3,397.85	Professional		$397.01	$713.55	$3,397.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.75 / $1,391.42 / $1,766.88	Facility		$706.75	$1,391.42	$1,766.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.34 / $780.98 / $976.23	Professional		$421.34	$780.98	$976.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $670.84 / $849.46 / $1,940.45	Facility		$670.84	$849.46	$1,940.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $998.97 / $1,881.35	Professional		$679.57	$998.97	$1,881.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.57 / $679.57 / $1,427.10	Facility		$679.57	$679.57	$1,427.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.57 / $1,019.36 / $1,868.82	Facility		$679.57	$1,019.36	$1,868.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.61 / $815.48 / $964.99	Professional		$611.61	$815.48	$964.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $713.55 / $1,115.17 / $1,868.82	Facility		$713.55	$1,115.17	$1,868.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $615.24 / $1,195.58 / $1,664.15	Professional		$615.24	$1,195.58	$1,664.15
United Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $285.42 / $761.12	Professional		$285.42	$285.42	$761.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $305.81 / $305.81 / $352.02	Professional		$305.81	$305.81	$352.02