Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.31 / $979.07 / $1,022.20	Facility		$431.31	$979.07	$1,022.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $431.31 / $1,022.20	Professional		$258.58	$431.31	$1,022.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $581.16 / $1,240.97 / $2,756.24	Facility		$581.16	$1,240.97	$2,756.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $402.96 / $564.15 / $3,923.06	Professional		$402.96	$564.15	$3,923.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $364.44	Facility		$364.44	$364.44	$364.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $266.04 / $364.44	Professional		$266.04	$266.04	$364.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $325.32 / $630.52 / $1,481.25	Facility		$325.32	$630.52	$1,481.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.68 / $630.52 / $1,097.26	Professional		$325.68	$630.52	$1,097.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.92 / $508.80 / $559.67	Professional		$457.92	$508.80	$559.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $505.06 / $571.41 / $663.70	Facility		$505.06	$571.41	$663.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $517.17 / $597.33 / $663.70	Professional		$517.17	$597.33	$663.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.16 / $745.36 / $1,296.28	Facility		$581.16	$745.36	$1,296.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $631.72 / $648.14 / $648.14	Facility		$631.72	$648.14	$648.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $527.25 / $564.15 / $730.07	Professional		$527.25	$564.15	$730.07
United Facility/Professional Professional Modifier Low / Median / High Price $258.02 / $387.03 / $492.26	Professional		$258.02	$387.03	$492.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $315.95	Professional		$260.20	$260.20	$315.95