Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.65 / $1,077.46 / $1,124.92	Facility		$474.65	$1,077.46	$1,124.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.21 / $474.65 / $1,124.92	Professional		$365.21	$474.65	$1,124.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $639.57 / $1,460.82 / $3,730.43	Facility		$639.57	$1,460.82	$3,730.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $527.72 / $691.31 / $4,333.49	Professional		$527.72	$691.31	$4,333.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $456.40	Facility		$456.40	$456.40	$456.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $333.17 / $456.40	Professional		$333.17	$333.17	$456.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $459.55 / $776.69 / $2,001.48	Facility		$459.55	$776.69	$2,001.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.05 / $782.20 / $1,549.90	Professional		$460.05	$782.20	$1,549.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $503.93 / $559.92 / $615.92	Professional		$503.93	$559.92	$615.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.78 / $713.29 / $730.41	Facility		$579.78	$713.29	$730.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $657.37 / $730.41 / $730.41	Professional		$657.37	$730.41	$730.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.57 / $820.28 / $1,426.58	Facility		$639.57	$820.28	$1,426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $695.21 / $713.29 / $713.29	Facility		$695.21	$713.29	$713.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $580.24 / $620.85 / $803.45	Professional		$580.24	$620.85	$803.45
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $549.02 / $695.21	Professional		$364.39	$549.02	$695.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.30 / $237.30 / $444.16	Professional		$237.30	$237.30	$444.16