Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.23 / $1,319.39 / $1,908.53	Facility		$581.23	$1,319.39	$1,908.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.80 / $581.23 / $1,319.39	Professional		$403.80	$581.23	$1,319.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $754.17 / $1,944.44 / $3,794.31	Facility		$754.17	$1,944.44	$3,794.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $593.86 / $732.09 / $6,147.14	Professional		$593.86	$732.09	$6,147.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.20 / $450.57 / $450.57	Facility		$287.20	$450.57	$450.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $328.92 / $474.25	Professional		$328.92	$328.92	$474.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $453.63 / $861.28 / $2,064.37	Facility		$453.63	$861.28	$2,064.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.13 / $830.50 / $1,529.22	Professional		$454.13	$830.50	$1,529.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $594.23 / $726.28	Professional		$72.63	$594.23	$726.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.66 / $775.15 / $861.28	Facility		$683.66	$775.15	$861.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $721.07 / $861.28 / $861.28	Professional		$721.07	$861.28	$861.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.17 / $967.25 / $1,682.18	Facility		$754.17	$967.25	$1,682.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $819.78 / $841.09 / $841.09	Facility		$819.78	$841.09	$841.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $684.21 / $732.09 / $947.41	Professional		$684.21	$732.09	$947.41
United Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $359.73 / $686.33	Professional		$332.60	$359.73	$686.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.51 / $242.51 / $732.09	Professional		$242.51	$242.51	$732.09