Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.63 / $1,016.12 / $1,060.88	Facility		$447.63	$1,016.12	$1,060.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.63 / $447.63 / $1,060.88	Professional		$390.63	$447.63	$1,060.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $603.16 / $1,244.46 / $3,128.86	Facility		$603.16	$1,244.46	$3,128.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $453.40 / $598.23 / $3,890.63	Professional		$453.40	$598.23	$3,890.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $379.03	Facility		$379.03	$379.03	$379.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $379.03	Professional		$276.69	$276.69	$379.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $368.55 / $688.82 / $1,678.12	Facility		$368.55	$688.82	$1,678.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.95 / $674.69 / $1,242.90	Professional		$368.95	$674.69	$1,242.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $475.24 / $528.04 / $580.85	Professional		$475.24	$528.04	$580.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $546.75 / $672.68 / $781.25	Facility		$546.75	$672.68	$781.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $688.82 / $688.82 / $781.25	Professional		$688.82	$688.82	$781.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.16 / $773.58 / $1,345.36	Facility		$603.16	$773.58	$1,345.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $655.63 / $672.68 / $672.68	Facility		$655.63	$672.68	$672.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $547.20 / $585.50 / $757.70	Professional		$547.20	$585.50	$757.70
United Facility/Professional Professional Modifier Low / Median / High Price $292.32 / $438.48 / $557.71	Professional		$292.32	$438.48	$557.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $104.08 / $355.30	Professional		$104.08	$104.08	$355.30