Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.44 / $1,090.59 / $1,138.64	Facility		$480.44	$1,090.59	$1,138.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.36 / $480.44 / $1,138.64	Professional		$313.36	$480.44	$1,138.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $647.36 / $1,407.86 / $3,286.44	Facility		$647.36	$1,407.86	$3,286.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $487.03 / $628.41 / $4,010.98	Professional		$487.03	$628.41	$4,010.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $468.67	Facility		$468.67	$468.67	$468.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $468.67	Professional		$342.13	$342.13	$468.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $394.48 / $739.31 / $1,794.37	Facility		$394.48	$739.31	$1,794.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.91 / $721.53 / $1,329.79	Professional		$394.91	$721.53	$1,329.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.08 / $566.76 / $623.43	Professional		$510.08	$566.76	$623.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $586.85 / $665.38 / $739.31	Facility		$586.85	$665.38	$739.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $626.72 / $739.31 / $739.31	Professional		$626.72	$739.31	$739.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.36 / $830.28 / $1,443.96	Facility		$647.36	$830.28	$1,443.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $703.68 / $721.98 / $721.98	Facility		$703.68	$721.98	$721.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $587.32 / $628.41 / $813.24	Professional		$587.32	$628.41	$813.24
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $312.66 / $468.99 / $596.52	Professional		$312.66	$468.99	$596.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $94.71 / $382.88	Professional		$94.71	$94.71	$382.88