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 / $1,155.95 / $3,239.07	Facility		$592.27	$1,155.95	$3,239.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $488.69 / $592.27 / $3,488.94	Professional		$488.69	$592.27	$3,488.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $437.50	Facility		$437.50	$437.50	$437.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $437.50	Professional		$319.38	$319.38	$437.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $491.97 / $777.85 / $1,932.27	Facility		$491.97	$777.85	$1,932.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.97 / $768.94 / $1,333.96	Professional		$491.97	$768.94	$1,333.96
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 $660.54 / $676.39 / $700.59	Facility		$660.54	$676.39	$700.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $481.66 / $537.33 / $537.33	Professional		$481.66	$537.33	$537.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.46 / $592.27 / $1,288.05	Facility		$561.46	$592.27	$1,288.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.46 / $611.61 / $759.62	Professional		$561.46	$611.61	$759.62
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 $293.89 / $339.17 / $589.25	Professional		$293.89	$339.17	$589.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.47 / $392.47 / $392.47	Professional		$392.47	$392.47	$392.47