Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.80 / $1,395.62 / $1,457.10	Facility		$614.80	$1,395.62	$1,457.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.94 / $546.49 / $917.86	Professional		$421.94	$546.49	$917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $797.73 / $1,775.36 / $4,248.13	Facility		$797.73	$1,775.36	$4,248.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $637.72 / $792.60 / $5,185.30	Professional		$637.72	$792.60	$5,185.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $516.29	Facility		$510.00	$510.00	$516.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $372.30 / $516.29	Professional		$372.30	$372.30	$516.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $509.60 / $911.03 / $2,319.37	Facility		$509.60	$911.03	$2,319.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.16 / $911.03 / $1,719.54	Professional		$510.16	$911.03	$1,719.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $628.55 / $698.39 / $768.22	Professional		$628.55	$698.39	$768.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $723.14 / $819.93 / $911.03	Facility		$723.14	$819.93	$911.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $723.72 / $911.03 / $911.03	Professional		$723.72	$911.03	$911.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $797.73 / $1,023.13 / $1,779.36	Facility		$797.73	$1,023.13	$1,779.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $867.13 / $889.68 / $889.68	Facility		$867.13	$889.68	$889.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $723.72 / $774.38 / $1,002.13	Professional		$723.72	$774.38	$1,002.13
United Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $404.20 / $771.16	Professional		$373.72	$404.20	$771.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $317.97 / $774.38	Professional		$317.97	$317.97	$774.38