Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.63 / $1,079.68 / $1,127.24	Facility		$475.63	$1,079.68	$1,127.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.37 / $475.63 / $1,127.24	Professional		$355.37	$475.63	$1,127.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $640.88 / $1,393.76 / $3,305.62	Facility		$640.88	$1,393.76	$3,305.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $480.38 / $640.50 / $3,622.91	Professional		$480.38	$640.50	$3,622.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $394.91	Facility		$394.91	$394.91	$394.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $394.91	Professional		$288.27	$288.27	$394.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $397.67 / $731.90 / $1,809.37	Facility		$397.67	$731.90	$1,809.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.10 / $728.15 / $1,340.55	Professional		$398.10	$728.15	$1,340.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $504.98 / $561.09 / $617.19	Professional		$504.98	$561.09	$617.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $580.98 / $710.73 / $731.90	Facility		$580.98	$710.73	$731.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $658.71 / $731.90 / $731.90	Professional		$658.71	$731.90	$731.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.88 / $821.96 / $1,429.50	Facility		$640.88	$821.96	$1,429.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $696.64 / $714.75 / $714.75	Facility		$696.64	$714.75	$714.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $581.44 / $622.12 / $805.09	Professional		$581.44	$622.12	$805.09
United Facility/Professional Professional Modifier Low / Median / High Price $315.29 / $472.94 / $601.54	Professional		$315.29	$472.94	$601.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $341.60 / $341.60 / $384.00	Professional		$341.60	$341.60	$384.00