Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.48 / $1,290.45 / $1,347.30	Facility		$568.48	$1,290.45	$1,347.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.04 / $568.48 / $1,347.30	Professional		$532.04	$568.48	$1,347.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $765.98 / $1,946.69 / $4,663.25	Facility		$765.98	$1,946.69	$4,663.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $638.59 / $816.46 / $6,154.20	Professional		$638.59	$816.46	$6,154.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $673.11	Facility		$673.11	$673.11	$673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $673.11	Professional		$491.37	$491.37	$673.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $550.54 / $930.49 / $2,397.14	Facility		$550.54	$930.49	$2,397.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.15 / $937.46 / $1,856.08	Professional		$551.15	$937.46	$1,856.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $603.55 / $670.62 / $737.68	Professional		$603.55	$670.62	$737.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.39 / $854.28 / $1,166.36	Facility		$694.39	$854.28	$1,166.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $694.39 / $874.78 / $1,166.36	Professional		$694.39	$874.78	$1,166.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $765.98 / $982.42 / $1,708.56	Facility		$765.98	$982.42	$1,708.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $832.63 / $854.28 / $854.28	Facility		$832.63	$854.28	$854.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $694.94 / $743.56 / $962.26	Professional		$694.94	$743.56	$962.26
United Facility/Professional Professional Modifier Low / Median / High Price $436.42 / $657.41 / $832.63	Professional		$436.42	$657.41	$832.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $534.42	Professional		$260.20	$260.20	$534.42