Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $453.08 / $1,038.23	Professional		$320.45	$453.08	$1,038.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,173.16 / $4,173.16	Facility		$100.00	$4,173.16	$4,173.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $699.76 / $1,099.00	Professional		$94.15	$699.76	$1,099.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $763.12	Facility		$581.42	$581.42	$763.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $581.42 / $763.12	Professional		$494.22	$581.42	$763.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $843.26 / $843.26 / $843.26	Facility		$843.26	$843.26	$843.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $843.26 / $843.26	Professional		$843.26	$843.26	$843.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $784.11 / $871.24 / $958.36	Professional		$784.11	$871.24	$958.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $843.26 / $877.68 / $1,109.84	Facility		$843.26	$877.68	$1,109.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $758.93 / $877.68 / $1,046.67	Professional		$758.93	$877.68	$1,046.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.52 / $795.20 / $795.20	Facility		$79.52	$795.20	$795.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $695.89 / $941.49	Professional		$69.59	$695.89	$941.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $818.69 / $818.69 / $818.69	Facility		$818.69	$818.69	$818.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $76.75 / $93.45	Professional		$76.75	$76.75	$93.45
United Facility/Professional Professional Modifier Low / Median / High Price $436.61 / $471.41 / $838.94	Professional		$436.61	$471.41	$838.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $699.76 / $699.76 / $699.76	Professional		$699.76	$699.76	$699.76