Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.28 / $1,024.41 / $1,069.53	Facility		$451.28	$1,024.41	$1,069.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.19 / $451.28 / $1,069.53	Professional		$369.19	$451.28	$1,069.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $585.54 / $1,545.56 / $3,518.89	Facility		$585.54	$1,545.56	$3,518.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $488.16 / $643.82 / $4,535.78	Professional		$488.16	$643.82	$4,535.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $408.60	Facility		$408.60	$408.60	$408.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $408.60	Professional		$298.27	$298.27	$408.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $700.35 / $1,832.48	Facility		$411.32	$700.35	$1,832.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.77 / $700.35 / $1,387.71	Professional		$411.77	$700.35	$1,387.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $461.38 / $512.65 / $563.91	Professional		$461.38	$512.65	$563.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $530.83 / $653.04 / $668.71	Facility		$530.83	$653.04	$668.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $601.84 / $668.71 / $668.71	Professional		$601.84	$668.71	$668.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.54 / $751.00 / $1,306.08	Facility		$585.54	$751.00	$1,306.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $636.49 / $653.04 / $653.04	Facility		$636.49	$653.04	$653.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $531.24 / $568.40 / $735.58	Professional		$531.24	$568.40	$735.58
United Facility/Professional Professional Modifier Low / Median / High Price $301.63 / $326.23 / $622.40	Professional		$301.63	$326.23	$622.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $382.93 / $499.59 / $499.59	Professional		$382.93	$499.59	$499.59