Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.78 / $866.07 / $1,233.73	Facility		$641.78	$866.07	$1,233.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.50 / $496.41 / $1,101.05	Professional		$387.50	$496.41	$1,101.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $444.27 / $2,251.03 / $2,251.03	Facility		$444.27	$2,251.03	$2,251.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $581.74 / $1,073.41 / $4,139.93	Professional		$581.74	$1,073.41	$4,139.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.96 / $775.11 / $1,479.88	Professional		$465.96	$775.11	$1,479.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $419.74 / $744.70 / $1,115.13	Facility		$419.74	$744.70	$1,115.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.17 / $705.78 / $1,115.77	Professional		$405.17	$705.78	$1,115.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $787.41 / $1,402.30	Professional		$142.12	$787.41	$1,402.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $626.71 / $865.64 / $992.27	Facility		$626.71	$865.64	$992.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.69 / $1,109.71 / $1,388.14	Professional		$682.69	$1,109.71	$1,388.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $682.37 / $963.36 / $1,220.93	Professional		$682.37	$963.36	$1,220.93
United Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $682.44 / $1,279.08	Professional		$438.29	$682.44	$1,279.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $410.51 / $523.22 / $523.22	Professional		$410.51	$523.22	$523.22