Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.29 / $976.76 / $1,019.79	Facility		$430.29	$976.76	$1,019.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.41 / $430.29 / $1,019.79	Professional		$389.41	$430.29	$1,019.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $579.79 / $1,308.40 / $3,083.04	Facility		$579.79	$1,308.40	$3,083.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $462.24 / $576.05 / $3,878.47	Professional		$462.24	$576.05	$3,878.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $503.81	Facility		$503.81	$503.81	$503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $503.81	Professional		$367.78	$367.78	$503.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $367.64 / $662.14 / $1,672.50	Facility		$367.64	$662.14	$1,672.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.04 / $662.14 / $1,239.58	Professional		$368.04	$662.14	$1,239.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $456.84 / $507.60 / $558.36	Professional		$456.84	$507.60	$558.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.60 / $646.62 / $778.81	Facility		$525.60	$646.62	$778.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $595.92 / $662.14 / $778.81	Professional		$595.92	$662.14	$778.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.79 / $743.61 / $1,293.24	Facility		$579.79	$743.61	$1,293.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.23 / $646.62 / $646.62	Facility		$630.23	$646.62	$646.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $526.01 / $562.82 / $728.35	Professional		$526.01	$562.82	$728.35
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $291.41 / $418.06 / $555.96	Professional		$291.41	$418.06	$555.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.14 / $182.14 / $356.85	Professional		$182.14	$182.14	$356.85