Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.50 / $1,381.30 / $1,442.14	Facility		$608.50	$1,381.30	$1,442.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.96 / $608.50 / $1,442.14	Professional		$458.96	$608.50	$1,442.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $789.55 / $1,964.47 / $4,031.07	Facility		$789.55	$1,964.47	$4,031.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $589.69 / $789.55 / $5,197.82	Professional		$589.69	$789.55	$5,197.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $626.01	Facility		$626.01	$626.01	$626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $456.99 / $626.01	Professional		$456.99	$456.99	$626.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $475.47 / $901.68 / $2,164.67	Facility		$475.47	$901.68	$2,164.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.99 / $871.24 / $1,604.52	Professional		$475.99	$871.24	$1,604.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $622.12 / $691.25 / $760.37	Professional		$622.12	$691.25	$760.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $715.74 / $819.58 / $901.68	Facility		$715.74	$819.58	$901.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $811.51 / $901.54 / $901.68	Professional		$811.51	$901.54	$901.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.55 / $1,012.63 / $1,761.10	Facility		$789.55	$1,012.63	$1,761.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $858.24 / $880.55 / $880.55	Facility		$858.24	$880.55	$880.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $716.32 / $766.43 / $991.85	Professional		$716.32	$766.43	$991.85
United Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $435.94 / $719.64	Professional		$348.75	$435.94	$719.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.35 / $187.35 / $766.43	Professional		$187.35	$187.35	$766.43