Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.50 / $1,009.02 / $1,053.46	Facility		$444.50	$1,009.02	$1,053.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.54 / $444.50 / $1,053.46	Professional		$307.54	$444.50	$1,053.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $576.75 / $1,254.30 / $2,619.48	Facility		$576.75	$1,254.30	$2,619.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $386.09 / $559.87 / $3,585.38	Professional		$386.09	$559.87	$3,585.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $387.54	Facility		$387.54	$387.54	$387.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $387.54	Professional		$282.89	$282.89	$387.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $310.76 / $625.74 / $1,414.68	Facility		$310.76	$625.74	$1,414.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.10 / $625.74 / $1,047.60	Professional		$311.10	$625.74	$1,047.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $454.44 / $504.94 / $555.43	Professional		$454.44	$504.94	$555.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $522.83 / $592.79 / $658.67	Facility		$522.83	$592.79	$658.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $523.25 / $625.74 / $658.67	Professional		$523.25	$625.74	$658.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.75 / $739.71 / $1,286.46	Facility		$576.75	$739.71	$1,286.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $626.91 / $643.23 / $643.23	Facility		$626.91	$643.23	$643.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $523.25 / $559.87 / $724.54	Professional		$523.25	$559.87	$724.54
United Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $246.45 / $470.19	Professional		$227.86	$246.45	$470.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.97 / $281.97 / $300.87	Professional		$281.97	$281.97	$300.87