Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.07 / $645.36 / $1,529.05	Facility		$187.07	$645.36	$1,529.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.56 / $645.36 / $1,116.47	Professional		$479.56	$645.36	$1,116.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $837.37 / $2,048.86 / $4,802.66	Facility		$837.37	$2,048.86	$4,802.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $698.10 / $831.98 / $5,555.28	Professional		$698.10	$831.98	$5,555.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $632.51	Facility		$632.51	$632.51	$632.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $632.51	Professional		$461.73	$461.73	$632.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $579.21 / $986.40 / $2,620.52	Facility		$579.21	$986.40	$2,620.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.85 / $986.40 / $1,953.72	Professional		$579.85	$986.40	$1,953.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $659.79 / $733.11 / $806.42	Professional		$659.79	$733.11	$806.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $759.09 / $933.89 / $956.30	Facility		$759.09	$933.89	$956.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $855.94 / $956.30 / $1,051.93	Professional		$855.94	$956.30	$1,051.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.37 / $1,073.97 / $1,867.78	Facility		$837.37	$1,073.97	$1,867.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $910.22 / $933.89 / $933.89	Facility		$910.22	$933.89	$933.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $759.70 / $812.86 / $1,051.93	Professional		$759.70	$812.86	$1,051.93
United Facility/Professional Professional Modifier Low / Median / High Price $424.74 / $495.53 / $876.46	Professional		$424.74	$495.53	$876.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $557.09 / $614.08 / $614.08	Professional		$557.09	$614.08	$614.08