Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.59 / $1,311.13 / $1,368.89	Facility		$577.59	$1,311.13	$1,368.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.87 / $577.59 / $1,368.89	Professional		$406.87	$577.59	$1,368.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $749.44 / $1,966.54 / $3,888.75	Facility		$749.44	$1,966.54	$3,888.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $581.54 / $727.50 / $4,610.54	Professional		$581.54	$727.50	$4,610.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $454.00	Facility		$454.00	$454.00	$454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $331.42 / $613.20	Professional		$331.42	$331.42	$613.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $479.44 / $855.88 / $2,216.55	Facility		$479.44	$855.88	$2,216.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.40 / $855.88 / $1,541.63	Professional		$482.40	$855.88	$1,541.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $590.50 / $656.12 / $721.73	Professional		$590.50	$656.12	$721.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.38 / $770.29 / $855.88	Facility		$679.38	$770.29	$855.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $679.38 / $813.09 / $855.88	Professional		$679.38	$813.09	$855.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.44 / $961.19 / $1,671.64	Facility		$749.44	$961.19	$1,671.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $814.64 / $835.82 / $835.82	Facility		$814.64	$835.82	$835.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $679.92 / $727.50 / $941.47	Professional		$679.92	$727.50	$941.47
United Facility/Professional Professional Modifier Low / Median / High Price $335.13 / $390.99 / $691.55	Professional		$335.13	$390.99	$691.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $374.40 / $452.73	Professional		$374.40	$374.40	$452.73