Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.91 / $1,266.48 / $1,322.27	Facility		$557.91	$1,266.48	$1,322.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.70 / $557.91 / $1,322.27	Professional		$465.70	$557.91	$1,322.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $751.76 / $1,634.90 / $3,703.71	Facility		$751.76	$1,634.90	$3,703.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $513.22 / $738.34 / $4,638.32	Professional		$513.22	$738.34	$4,638.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $555.76	Facility		$555.76	$555.76	$555.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $405.70 / $555.76	Professional		$405.70	$405.70	$555.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $439.53 / $838.19 / $1,999.68	Facility		$439.53	$838.19	$1,999.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.01 / $822.57 / $1,482.05	Professional		$440.01	$822.57	$1,482.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $592.33 / $658.15 / $723.96	Professional		$592.33	$658.15	$723.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $681.48 / $838.41 / $931.39	Facility		$681.48	$838.41	$931.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $815.60 / $858.53 / $931.39	Professional		$815.60	$858.53	$931.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.76 / $964.17 / $1,676.82	Facility		$751.76	$964.17	$1,676.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $817.16 / $838.41 / $838.41	Facility		$817.16	$838.41	$838.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $682.02 / $729.75 / $944.38	Professional		$682.02	$729.75	$944.38
United Facility/Professional Professional Modifier Low / Median / High Price $348.49 / $524.95 / $664.88	Professional		$348.49	$524.95	$664.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $424.79	Professional		$260.20	$260.20	$424.79