Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.33 / $1,576.13 / $1,645.56	Facility		$694.33	$1,576.13	$1,645.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.16 / $694.33 / $1,645.56	Professional		$536.16	$694.33	$1,645.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $900.92 / $1,959.28 / $4,299.75	Facility		$900.92	$1,959.28	$4,299.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $572.45 / $874.54 / $5,092.91	Professional		$572.45	$874.54	$5,092.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $499.17	Facility		$499.17	$499.17	$499.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $364.39 / $499.17	Professional		$364.39	$364.39	$499.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $485.48 / $977.43 / $2,209.67	Facility		$485.48	$977.43	$2,209.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $977.43 / $1,637.62	Professional		$486.01	$977.43	$1,637.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $709.86 / $788.74 / $867.61	Professional		$709.86	$788.74	$867.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $816.70 / $999.53 / $1,028.86	Facility		$816.70	$999.53	$1,028.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $925.98 / $1,028.86 / $1,183.20	Professional		$925.98	$1,028.86	$1,183.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $900.92 / $1,155.47 / $2,009.52	Facility		$900.92	$1,155.47	$2,009.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $979.30 / $1,004.76 / $1,004.76	Facility		$979.30	$1,004.76	$1,004.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $817.35 / $874.54 / $1,131.76	Professional		$817.35	$874.54	$1,131.76
United Facility/Professional Professional Modifier Low / Median / High Price $355.93 / $384.97 / $734.47	Professional		$355.93	$384.97	$734.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $468.36 / $468.36 / $469.98	Professional		$468.36	$468.36	$469.98