Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.35 / $1,140.33 / $1,190.57	Facility		$502.35	$1,140.33	$1,190.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $502.35 / $1,190.57	Professional		$318.52	$502.35	$1,190.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $651.80 / $1,499.62 / $3,084.21	Facility		$651.80	$1,499.62	$3,084.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $448.21 / $632.73 / $3,708.18	Professional		$448.21	$632.73	$3,708.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $477.88	Facility		$477.88	$477.88	$477.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $477.88	Professional		$348.85	$348.85	$477.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $358.08 / $707.17 / $1,628.43	Facility		$358.08	$707.17	$1,628.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.47 / $707.17 / $1,207.32	Professional		$358.47	$707.17	$1,207.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $513.59 / $570.66 / $627.72	Professional		$513.59	$570.66	$627.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $555.47 / $647.89 / $744.39	Facility		$555.47	$647.89	$744.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $568.79 / $707.17 / $744.39	Professional		$568.79	$707.17	$744.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $651.80 / $835.98 / $1,453.88	Facility		$651.80	$835.98	$1,453.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $708.52 / $726.94 / $726.94	Facility		$708.52	$726.94	$726.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $591.36 / $632.73 / $818.83	Professional		$591.36	$632.73	$818.83
United Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $306.10 / $541.39	Professional		$262.37	$306.10	$541.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.35 / $187.35 / $632.73	Professional		$187.35	$187.35	$632.73