Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.54 / $1,161.51 / $1,420.93	Facility		$599.54	$1,161.51	$1,420.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.68 / $599.54 / $1,420.93	Professional		$476.68	$599.54	$1,420.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $777.94 / $1,743.28 / $4,272.47	Facility		$777.94	$1,743.28	$4,272.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $635.20 / $773.75 / $4,982.06	Professional		$635.20	$773.75	$4,982.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.42 / $579.51 / $579.51	Facility		$324.42	$579.51	$579.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $423.04 / $731.52	Professional		$423.04	$423.04	$731.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $540.48 / $922.98 / $2,434.51	Facility		$540.48	$922.98	$2,434.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.02 / $937.94 / $1,727.82	Professional		$571.02	$937.94	$1,727.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $612.96 / $681.07 / $749.17	Professional		$612.96	$681.07	$749.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $705.21 / $851.22 / $888.43	Facility		$705.21	$851.22	$888.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $705.77 / $888.43 / $906.20	Professional		$705.77	$888.43	$906.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.94 / $997.75 / $1,735.22	Facility		$777.94	$997.75	$1,735.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $845.62 / $867.61 / $867.61	Facility		$845.62	$867.61	$867.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $705.77 / $755.17 / $977.27	Professional		$705.77	$755.17	$977.27
United Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $438.31 / $775.23	Professional		$388.22	$438.31	$775.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.12 / $309.12 / $755.17	Professional		$309.12	$309.12	$755.17