Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.83 / $1,209.52 / $1,262.81	Facility		$532.83	$1,209.52	$1,262.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.95 / $532.83 / $1,262.81	Professional		$428.95	$532.83	$1,262.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $691.36 / $1,927.87 / $4,148.45	Facility		$691.36	$1,927.87	$4,148.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $576.38 / $748.04 / $5,915.12	Professional		$576.38	$748.04	$5,915.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $550.80	Facility		$550.80	$550.80	$550.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $402.09 / $601.14	Professional		$402.09	$402.09	$601.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $481.84 / $820.17 / $2,163.54	Facility		$481.84	$820.17	$2,163.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.37 / $820.17 / $1,625.21	Professional		$482.37	$820.17	$1,625.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $544.75 / $605.28 / $665.80	Professional		$544.75	$605.28	$665.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $626.73 / $765.99 / $789.56	Facility		$626.73	$765.99	$789.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $710.60 / $765.99 / $789.56	Professional		$710.60	$765.99	$789.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.36 / $886.71 / $1,542.10	Facility		$691.36	$886.71	$1,542.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $751.51 / $771.05 / $771.05	Facility		$751.51	$771.05	$771.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $627.23 / $671.13 / $868.52	Professional		$627.23	$671.13	$868.52
United Facility/Professional Professional Modifier Low / Median / High Price $353.32 / $441.65 / $729.08	Professional		$353.32	$441.65	$729.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $245.63 / $466.53	Professional		$245.63	$245.63	$466.53