Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.57 / $1,070.46 / $1,117.61	Facility		$471.57	$1,070.46	$1,117.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.75 / $471.57 / $1,117.61	Professional		$289.75	$471.57	$1,117.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $635.41 / $1,381.87 / $3,076.44	Facility		$635.41	$1,381.87	$3,076.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $444.27 / $616.80 / $3,592.02	Professional		$444.27	$616.80	$3,592.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $499.82	Facility		$499.82	$499.82	$499.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $364.87 / $499.82	Professional		$364.87	$364.87	$499.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $364.45 / $695.48 / $1,658.43	Facility		$364.45	$695.48	$1,658.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.85 / $689.38 / $1,229.66	Professional		$364.85	$689.38	$1,229.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $500.67 / $556.29 / $611.92	Professional		$500.67	$556.29	$611.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $565.91 / $637.44 / $725.66	Facility		$565.91	$637.44	$725.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $576.48 / $725.66 / $725.66	Professional		$576.48	$725.66	$725.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.41 / $814.95 / $1,417.30	Facility		$635.41	$814.95	$1,417.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $690.69 / $708.65 / $708.65	Facility		$690.69	$708.65	$708.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $576.48 / $616.80 / $798.23	Professional		$576.48	$616.80	$798.23
United Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $289.10 / $382.03	Facility		$4.62	$289.10	$382.03
United Facility/Professional Professional Modifier Low / Median / High Price $289.10 / $435.06 / $551.57	Professional		$289.10	$435.06	$551.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.14 / $182.14 / $352.40	Professional		$182.14	$182.14	$352.40