Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.04 / $1,180.49 / $1,232.49	Facility		$520.04	$1,180.49	$1,232.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.39 / $520.04 / $1,232.49	Professional		$373.39	$520.04	$1,232.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $674.77 / $1,601.22 / $3,443.36	Facility		$674.77	$1,601.22	$3,443.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $522.95 / $662.72 / $5,061.74	Professional		$522.95	$662.72	$5,061.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $408.71	Facility		$408.71	$408.71	$408.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $298.36 / $464.86	Professional		$298.36	$298.36	$464.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $770.60 / $1,873.12	Facility		$411.32	$770.60	$1,873.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.77 / $753.61 / $1,388.54	Professional		$411.77	$753.61	$1,388.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $531.67 / $590.75 / $649.82	Professional		$531.67	$590.75	$649.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $611.69 / $693.54 / $770.60	Facility		$611.69	$693.54	$770.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $666.77 / $770.60 / $770.60	Professional		$666.77	$770.60	$770.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.77 / $865.42 / $1,505.08	Facility		$674.77	$865.42	$1,505.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $733.47 / $752.54 / $752.54	Facility		$733.47	$752.54	$752.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $612.17 / $655.01 / $847.66	Professional		$612.17	$655.01	$847.66
United Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $326.85 / $622.58	Professional		$301.70	$326.85	$622.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $312.24 / $312.24 / $383.03	Professional		$312.24	$312.24	$383.03