Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.16 / $1,339.69 / $1,893.36	Facility		$590.16	$1,339.69	$1,893.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.33 / $590.16 / $1,398.70	Professional		$517.33	$590.16	$1,398.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $765.77 / $1,775.30 / $4,661.22	Facility		$765.77	$1,775.30	$4,661.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $638.41 / $843.91 / $5,290.03	Professional		$638.41	$843.91	$5,290.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $565.73	Facility		$565.73	$565.73	$565.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $412.98 / $565.73	Professional		$412.98	$412.98	$565.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $550.09 / $929.72 / $2,396.44	Facility		$550.09	$929.72	$2,396.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.69 / $936.61 / $1,856.08	Professional		$550.69	$936.61	$1,856.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $603.37 / $670.42 / $737.46	Professional		$603.37	$670.42	$737.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.18 / $854.03 / $923.80	Facility		$694.18	$854.03	$923.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $787.08 / $874.53 / $923.80	Professional		$787.08	$874.53	$923.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $765.77 / $982.13 / $1,708.06	Facility		$765.77	$982.13	$1,708.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $832.39 / $854.03 / $854.03	Facility		$832.39	$854.03	$854.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $694.74 / $743.35 / $961.98	Professional		$694.74	$743.35	$961.98
United Facility/Professional Professional Modifier Low / Median / High Price $403.39 / $436.30 / $832.39	Professional		$403.39	$436.30	$832.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $526.17 / $676.53 / $676.53	Professional		$526.17	$676.53	$676.53