Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.10 / $1,098.91 / $1,147.32	Facility		$484.10	$1,098.91	$1,147.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $484.10 / $1,147.32	Professional		$311.80	$484.10	$1,147.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $652.29 / $1,345.84 / $3,225.13	Facility		$652.29	$1,345.84	$3,225.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $484.16 / $633.20 / $3,687.45	Professional		$484.16	$633.20	$3,687.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $389.66	Facility		$389.66	$389.66	$389.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $284.45 / $389.66	Professional		$284.45	$284.45	$389.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $392.21 / $744.94 / $1,785.93	Facility		$392.21	$744.94	$1,785.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.64 / $717.97 / $1,323.17	Professional		$392.64	$717.97	$1,323.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $513.97 / $571.08 / $628.18	Professional		$513.97	$571.08	$628.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $591.30 / $670.45 / $744.94	Facility		$591.30	$670.45	$744.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $623.59 / $670.45 / $744.94	Professional		$623.59	$670.45	$744.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.29 / $836.60 / $1,454.96	Facility		$652.29	$836.60	$1,454.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $709.04 / $727.48 / $727.48	Facility		$709.04	$727.48	$727.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $591.79 / $633.20 / $819.43	Professional		$591.79	$633.20	$819.43
United Facility/Professional Professional Modifier Low / Median / High Price $311.10 / $468.74 / $593.54	Professional		$311.10	$468.74	$593.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $332.54 / $332.54 / $461.60	Professional		$332.54	$332.54	$461.60