Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.30 / $1,108.44 / $1,533.67	Facility		$488.30	$1,108.44	$1,533.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.87 / $488.30 / $1,157.27	Professional		$362.87	$488.30	$1,157.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $657.95 / $1,532.12 / $3,565.60	Facility		$657.95	$1,532.12	$3,565.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $519.28 / $672.17 / $4,843.43	Professional		$519.28	$672.17	$4,843.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.01 / $420.01 / $420.01	Facility		$420.01	$420.01	$420.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $306.61 / $420.01	Professional		$306.61	$306.61	$420.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $422.69 / $751.39 / $1,924.68	Facility		$422.69	$751.39	$1,924.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.15 / $751.39 / $1,426.61	Professional		$423.15	$751.39	$1,426.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $518.42 / $576.03 / $633.63	Professional		$518.42	$576.03	$633.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $596.45 / $725.74 / $751.39	Facility		$596.45	$725.74	$751.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $596.91 / $751.39 / $751.39	Professional		$596.91	$751.39	$751.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.95 / $843.85 / $1,467.56	Facility		$657.95	$843.85	$1,467.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $715.19 / $733.78 / $733.78	Facility		$715.19	$733.78	$733.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $596.91 / $638.67 / $826.53	Professional		$596.91	$638.67	$826.53
United Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $503.00 / $639.78	Professional		$335.33	$503.00	$639.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $312.24 / $312.24 / $409.90	Professional		$312.24	$312.24	$409.90