Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.15 / $1,019.57 / $1,064.49	Facility		$449.15	$1,019.57	$1,064.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.03 / $449.15 / $1,064.49	Professional		$386.03	$449.15	$1,064.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $582.78 / $1,384.20 / $3,175.29	Facility		$582.78	$1,384.20	$3,175.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $465.89 / $579.03 / $3,432.91	Professional		$465.89	$579.03	$3,432.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $380.63	Professional		$277.86	$277.86	$380.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $665.55 / $1,743.75	Facility		$261.02	$665.55	$1,743.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $665.55 / $1,292.55	Professional		$261.02	$665.55	$1,292.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $665.55 / $665.55	Professional		$60.00	$665.55	$665.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $528.29 / $649.95 / $689.34	Facility		$528.29	$649.95	$689.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $528.71 / $665.55 / $689.34	Professional		$528.71	$665.55	$689.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.78 / $747.44 / $1,299.90	Facility		$582.78	$747.44	$1,299.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $633.48 / $649.95 / $649.95	Facility		$633.48	$649.95	$649.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $528.71 / $565.72 / $732.11	Professional		$528.71	$565.72	$732.11
United Facility/Professional Professional Modifier Low / Median / High Price $280.97 / $327.80 / $579.79	Professional		$280.97	$327.80	$579.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $313.14 / $565.72	Professional		$313.14	$313.14	$565.72