Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.65 / $1,034.33 / $1,079.89	Facility		$455.65	$1,034.33	$1,079.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.39 / $455.65 / $1,079.89	Professional		$344.39	$455.65	$1,079.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $613.96 / $1,335.20 / $3,319.62	Facility		$613.96	$1,335.20	$3,319.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $474.09 / $602.99 / $4,319.52	Professional		$474.09	$602.99	$4,319.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $484.42	Facility		$484.42	$484.42	$484.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $353.63 / $484.42	Professional		$353.63	$353.63	$484.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $411.77 / $701.19 / $1,874.06	Facility		$411.77	$701.19	$1,874.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.22 / $715.17 / $1,388.54	Professional		$412.22	$715.17	$1,388.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $483.75 / $537.51 / $591.26	Professional		$483.75	$537.51	$591.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.58 / $684.72 / $701.15	Facility		$556.58	$684.72	$701.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $701.15 / $701.15	Professional		$631.04	$701.15	$701.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $613.96 / $787.43 / $1,369.44	Facility		$613.96	$787.43	$1,369.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $667.37 / $684.72 / $684.72	Facility		$667.37	$684.72	$684.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $557.01 / $595.98 / $771.27	Professional		$557.01	$595.98	$771.27
United Facility/Professional Professional Modifier Low / Median / High Price $326.51 / $435.34 / $622.94	Professional		$326.51	$435.34	$622.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $393.90 / $405.92 / $405.92	Professional		$393.90	$405.92	$405.92