Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.46 / $1,036.16 / $1,081.81	Facility		$456.46	$1,036.16	$1,081.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.33 / $456.46 / $1,081.81	Professional		$392.33	$456.46	$1,081.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $592.27 / $1,406.79 / $3,239.07	Facility		$592.27	$1,406.79	$3,239.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $473.47 / $588.46 / $3,488.94	Professional		$473.47	$588.46	$3,488.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $386.84	Facility		$386.84	$386.84	$386.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $386.84	Professional		$282.39	$282.39	$386.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.48 / $676.39 / $1,771.87	Facility		$389.48	$676.39	$1,771.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.90 / $684.54 / $1,313.24	Professional		$389.90	$684.54	$1,313.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $466.66 / $518.52 / $570.37	Professional		$466.66	$518.52	$570.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $608.75 / $676.39 / $744.03	Facility		$608.75	$676.39	$744.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $537.33 / $537.33 / $537.33	Professional		$537.33	$537.33	$537.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.27 / $759.62 / $1,321.08	Facility		$592.27	$759.62	$1,321.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $643.79 / $660.54 / $660.54	Facility		$643.79	$660.54	$660.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.33 / $574.92 / $744.03	Professional		$537.33	$574.92	$744.03
United Facility/Professional Professional Modifier Low / Median / High Price $285.56 / $308.85 / $589.25	Professional		$285.56	$308.85	$589.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $373.67 / $376.46	Professional		$373.67	$373.67	$376.46