Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.42 / $972.51 / $1,015.36	Facility		$428.42	$972.51	$1,015.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.38 / $428.42 / $1,015.36	Professional		$340.38	$428.42	$1,015.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $577.26 / $1,255.39 / $3,169.20	Facility		$577.26	$1,255.39	$3,169.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $461.47 / $573.54 / $3,390.18	Professional		$461.47	$573.54	$3,390.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $436.96	Facility		$436.96	$436.96	$436.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $318.98 / $436.96	Professional		$318.98	$318.98	$436.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $382.20 / $659.24 / $1,739.06	Facility		$382.20	$659.24	$1,739.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.62 / $671.74 / $1,288.41	Professional		$382.62	$671.74	$1,288.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $454.84 / $505.38 / $555.91	Professional		$454.84	$505.38	$555.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $523.29 / $643.79 / $680.76	Facility		$523.29	$643.79	$680.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $626.28 / $659.24 / $680.76	Professional		$626.28	$659.24	$680.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $577.26 / $740.36 / $1,287.58	Facility		$577.26	$740.36	$1,287.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $627.48 / $643.79 / $643.79	Facility		$627.48	$643.79	$643.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $523.71 / $560.35 / $725.16	Professional		$523.71	$560.35	$725.16
United Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $440.50 / $578.00	Professional		$302.95	$440.50	$578.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.58 / $346.58 / $405.82	Professional		$346.58	$346.58	$405.82