Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.29 / $1,387.63 / $1,448.76	Facility		$611.29	$1,387.63	$1,448.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.37 / $611.29 / $1,448.76	Professional		$449.37	$611.29	$1,448.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $823.67 / $1,699.41 / $3,726.17	Facility		$823.67	$1,699.41	$3,726.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $555.66 / $818.37 / $4,656.22	Professional		$555.66	$818.37	$4,656.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $448.56	Facility		$448.56	$448.56	$448.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $327.45 / $448.56	Professional		$327.45	$327.45	$448.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $444.08 / $893.62 / $2,019.37	Facility		$444.08	$893.62	$2,019.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.56 / $893.62 / $1,497.77	Professional		$444.56	$893.62	$1,497.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $649.00 / $721.12 / $793.23	Professional		$649.00	$721.12	$793.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $746.68 / $898.74 / $940.65	Facility		$746.68	$898.74	$940.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $846.59 / $940.65 / $940.65	Professional		$846.59	$940.65	$940.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $823.67 / $1,056.39 / $1,837.20	Facility		$823.67	$1,056.39	$1,837.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $895.33 / $918.60 / $918.60	Facility		$895.33	$918.60	$918.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $747.27 / $799.55 / $1,034.72	Professional		$747.27	$799.55	$1,034.72
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $351.96 / $530.17 / $671.50	Professional		$351.96	$530.17	$671.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.33 / $404.33 / $455.05	Professional		$404.33	$404.33	$455.05