Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.48 / $1,383.52 / $1,444.47	Facility		$609.48	$1,383.52	$1,444.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.88 / $609.48 / $1,444.47	Professional		$523.88	$609.48	$1,444.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $790.82 / $1,878.42 / $4,308.97	Facility		$790.82	$1,878.42	$4,308.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $643.15 / $790.35 / $4,658.79	Professional		$643.15	$790.35	$4,658.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $576.88	Facility		$576.88	$576.88	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $576.88	Professional		$421.12	$421.12	$576.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $579.70 / $992.03 / $2,367.17	Facility		$579.70	$992.03	$2,367.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.70 / $956.70 / $1,754.30	Professional		$579.70	$956.70	$1,754.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $623.12 / $692.36 / $761.59	Professional		$623.12	$692.36	$761.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $716.90 / $881.97 / $935.50	Facility		$716.90	$881.97	$935.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $903.14 / $935.50	Professional		$812.83	$903.14	$935.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.82 / $1,014.27 / $1,763.94	Facility		$790.82	$1,014.27	$1,763.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $859.62 / $881.97 / $881.97	Facility		$859.62	$881.97	$881.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $717.47 / $767.67 / $993.45	Professional		$717.47	$767.67	$993.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,102.16 / $1,322.59 / $1,322.59	Facility		$1,102.16	$1,322.59	$1,322.59
United Facility/Professional Professional Modifier Low / Median / High Price $381.29 / $412.39 / $786.79	Professional		$381.29	$412.39	$786.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $502.69 / $533.59 / $533.59	Professional		$502.69	$533.59	$533.59