Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.93 / $1,141.65 / $1,191.94	Facility		$502.93	$1,141.65	$1,191.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.72 / $502.93 / $1,191.94	Professional		$359.72	$502.93	$1,191.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $652.57 / $1,419.17 / $2,938.67	Facility		$652.57	$1,419.17	$2,938.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $462.52 / $633.46 / $3,688.99	Professional		$462.52	$633.46	$3,688.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $373.57	Facility		$373.57	$373.57	$373.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $373.57	Professional		$272.70	$272.70	$373.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $351.71 / $707.99 / $1,600.31	Facility		$351.71	$707.99	$1,600.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.10 / $707.99 / $1,186.63	Professional		$352.10	$707.99	$1,186.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $514.18 / $571.32 / $628.45	Professional		$514.18	$571.32	$628.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $591.55 / $670.73 / $745.25	Facility		$591.55	$670.73	$745.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $642.36 / $745.25 / $745.25	Professional		$642.36	$745.25	$745.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.57 / $836.95 / $1,455.56	Facility		$652.57	$836.95	$1,455.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $709.34 / $727.78 / $727.78	Facility		$709.34	$727.78	$727.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $633.46 / $819.78	Professional		$592.04	$633.46	$819.78
United Facility/Professional Facility Modifier Low / Median / High Price $214.85 / $276.36 / $300.79	Facility		$214.85	$276.36	$300.79
United Facility/Professional Professional Modifier Low / Median / High Price $257.82 / $300.79 / $532.00	Professional		$257.82	$300.79	$532.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $311.20 / $633.46	Professional		$311.20	$311.20	$633.46