Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.20 / $978.82 / $1,021.94	Facility		$431.20	$978.82	$1,021.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.22 / $431.20 / $1,021.94	Professional		$281.22	$431.20	$1,021.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $559.50 / $1,216.78 / $2,738.27	Facility		$559.50	$1,216.78	$2,738.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $392.62 / $543.12 / $3,766.55	Professional		$392.62	$543.12	$3,766.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $313.79	Facility		$313.79	$313.79	$313.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $229.07 / $356.40	Professional		$229.07	$229.07	$356.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $315.77 / $607.02 / $1,438.12	Facility		$315.77	$607.02	$1,438.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.11 / $607.02 / $1,065.82	Professional		$316.11	$607.02	$1,065.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $440.84 / $489.83 / $538.81	Professional		$440.84	$489.83	$538.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $490.41 / $552.40 / $638.97	Facility		$490.41	$552.40	$638.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $502.18 / $638.97 / $638.97	Professional		$502.18	$638.97	$638.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.50 / $717.59 / $1,247.98	Facility		$559.50	$717.59	$1,247.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $608.17 / $623.99 / $623.99	Facility		$608.17	$623.99	$623.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $507.60 / $543.12 / $702.87	Professional		$507.60	$543.12	$702.87
United Facility/Professional Professional Modifier Low / Median / High Price $231.64 / $250.94 / $477.98	Professional		$231.64	$250.94	$477.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.39 / $239.39 / $308.99	Professional		$239.39	$239.39	$308.99