Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.89 / $1,323.16 / $1,381.45	Facility		$582.89	$1,323.16	$1,381.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.50 / $582.89 / $1,381.45	Professional		$431.50	$582.89	$1,381.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $785.40 / $1,725.99 / $4,473.42	Facility		$785.40	$1,725.99	$4,473.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $654.77 / $816.97 / $5,695.77	Professional		$654.77	$816.97	$5,695.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $582.20	Facility		$582.20	$582.20	$582.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $425.01 / $582.20	Professional		$425.01	$425.01	$582.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $542.80 / $924.80 / $2,457.87	Facility		$542.80	$924.80	$2,457.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.41 / $924.80 / $1,831.25	Professional		$543.41	$924.80	$1,831.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $618.84 / $687.61 / $756.37	Professional		$618.84	$687.61	$756.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $711.98 / $863.00 / $896.95	Facility		$711.98	$863.00	$896.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $807.26 / $896.95 / $986.65	Professional		$807.26	$896.95	$986.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $785.40 / $1,007.32 / $1,751.86	Facility		$785.40	$1,007.32	$1,751.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $853.73 / $875.93 / $875.93	Facility		$853.73	$875.93	$875.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $712.55 / $762.41 / $986.65	Professional		$712.55	$762.41	$986.65
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $430.54 / $645.80 / $821.42	Professional		$430.54	$645.80	$821.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $520.50 / $567.13 / $567.13	Professional		$520.50	$567.13	$567.13