Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.23 / $1,228.58 / $1,282.71	Facility		$541.23	$1,228.58	$1,282.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.13 / $541.23 / $936.33	Professional		$449.13	$541.23	$936.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $702.27 / $1,885.12 / $4,303.54	Facility		$702.27	$1,885.12	$4,303.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $585.47 / $783.22 / $5,650.92	Professional		$585.47	$783.22	$5,650.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $501.14	Facility		$501.14	$501.14	$501.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $501.14	Professional		$365.83	$365.83	$501.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $504.59 / $852.82 / $2,197.73	Facility		$504.59	$852.82	$2,197.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.14 / $858.98 / $1,702.16	Professional		$505.14	$858.98	$1,702.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $553.34 / $614.83 / $676.31	Professional		$553.34	$614.83	$676.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $636.63 / $783.22 / $802.01	Facility		$636.63	$783.22	$802.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $721.81 / $802.01 / $802.01	Professional		$721.81	$802.01	$802.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.27 / $900.70 / $1,566.44	Facility		$702.27	$900.70	$1,566.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $763.37 / $783.22 / $783.22	Facility		$763.37	$783.22	$783.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $637.13 / $681.71 / $882.21	Professional		$637.13	$681.71	$882.21
United Facility/Professional Professional Modifier Low / Median / High Price $369.94 / $400.12 / $763.37	Professional		$369.94	$400.12	$763.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $487.72 / $499.59 / $499.59	Professional		$487.72	$499.59	$499.59