Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.31 / $1,117.54 / $1,166.77	Facility		$492.31	$1,117.54	$1,166.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.31 / $492.31 / $1,166.77	Professional		$417.31	$492.31	$1,166.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $663.36 / $1,609.32 / $3,612.91	Facility		$663.36	$1,609.32	$3,612.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $529.02 / $663.36 / $5,087.52	Professional		$529.02	$663.36	$5,087.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $472.30	Facility		$472.30	$472.30	$472.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $344.78 / $472.30	Professional		$344.78	$344.78	$472.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.79 / $757.58 / $1,942.50	Facility		$426.79	$757.58	$1,942.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.25 / $757.58 / $1,439.85	Professional		$427.25	$757.58	$1,439.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $522.68 / $580.76 / $638.83	Professional		$522.68	$580.76	$638.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.34 / $739.82 / $834.62	Facility		$601.34	$739.82	$834.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $601.82 / $757.58 / $834.62	Professional		$601.82	$757.58	$834.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.36 / $850.79 / $1,479.64	Facility		$663.36	$850.79	$1,479.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $721.07 / $739.82 / $739.82	Facility		$721.07	$739.82	$739.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $601.82 / $643.94 / $833.34	Professional		$601.82	$643.94	$833.34
United Facility/Professional Professional Modifier Low / Median / High Price $338.50 / $507.74 / $645.79	Professional		$338.50	$507.74	$645.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.26 / $338.26 / $411.21	Professional		$338.26	$338.26	$411.21