Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.81 / $903.81 / $1,295.92	Facility		$666.81	$903.81	$1,295.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.39 / $516.69 / $1,176.92	Professional		$407.39	$516.69	$1,176.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $462.85 / $2,337.33 / $2,337.33	Facility		$462.85	$2,337.33	$2,337.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $593.92 / $1,129.70 / $4,313.93	Professional		$593.92	$1,129.70	$4,313.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.96 / $813.22 / $1,540.79	Professional		$487.96	$813.22	$1,540.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $441.13 / $782.65 / $1,164.28	Facility		$441.13	$782.65	$1,164.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.25 / $737.28 / $1,173.15	Professional		$426.25	$737.28	$1,173.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.20 / $843.41 / $1,507.72	Professional		$152.20	$843.41	$1,507.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $668.85 / $905.84 / $1,033.81	Facility		$668.85	$905.84	$1,033.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.86 / $1,156.17 / $1,446.25	Professional		$712.86	$1,156.17	$1,446.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $710.09 / $1,003.69 / $1,272.67	Professional		$710.09	$1,003.69	$1,272.67
United Facility/Professional Professional Modifier Low / Median / High Price $473.20 / $723.45 / $1,358.08	Professional		$473.20	$723.45	$1,358.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.25 / $542.90 / $542.90	Professional		$426.25	$542.90	$542.90