Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.38 / $1,508.14 / $1,574.58	Facility		$664.38	$1,508.14	$1,574.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.95 / $664.38 / $1,574.58	Professional		$442.95	$664.38	$1,574.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $862.05 / $1,874.75 / $4,154.25	Facility		$862.05	$1,874.75	$4,154.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $622.58 / $846.65 / $5,062.27	Professional		$622.58	$846.65	$5,062.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $500.69	Professional		$360.80	$360.80	$500.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $497.77 / $949.06 / $2,264.06	Facility		$497.77	$949.06	$2,264.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.31 / $935.26 / $1,678.17	Professional		$498.31	$935.26	$1,678.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $679.24 / $754.72 / $830.19	Professional		$679.24	$754.72	$830.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $772.44 / $886.03 / $984.48	Facility		$772.44	$886.03	$984.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $781.46 / $984.48 / $984.48	Professional		$781.46	$984.48	$984.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.05 / $1,105.61 / $1,922.82	Facility		$862.05	$1,105.61	$1,922.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $937.05 / $961.41 / $961.41	Facility		$937.05	$961.41	$961.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $782.09 / $836.81 / $1,082.93	Professional		$782.09	$836.81	$1,082.93
United Facility/Professional Professional Modifier Low / Median / High Price $364.85 / $394.61 / $752.87	Professional		$364.85	$394.61	$752.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.84 / $199.84 / $836.81	Professional		$199.84	$199.84	$836.81