Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.04 / $1,353.01 / $1,412.61	Facility		$596.04	$1,353.01	$1,412.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.59 / $596.04 / $1,412.61	Professional		$462.59	$596.04	$1,412.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $803.12 / $1,657.03 / $3,743.49	Facility		$803.12	$1,657.03	$3,743.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $563.61 / $792.44 / $4,607.35	Professional		$563.61	$792.44	$4,607.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $500.58	Facility		$500.58	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $365.42 / $500.58	Professional		$365.42	$365.42	$500.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.34 / $871.33 / $1,986.56	Facility		$436.34	$871.33	$1,986.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.82 / $871.33 / $1,472.95	Professional		$436.82	$871.33	$1,472.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $632.80 / $703.12 / $773.43	Professional		$632.80	$703.12	$773.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $728.04 / $895.69 / $925.17	Facility		$728.04	$895.69	$925.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $825.47 / $917.19 / $925.17	Professional		$825.47	$917.19	$925.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.12 / $1,030.04 / $1,791.38	Facility		$803.12	$1,030.04	$1,791.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $872.99 / $895.69 / $895.69	Facility		$872.99	$895.69	$895.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $728.62 / $779.61 / $1,008.91	Professional		$728.62	$779.61	$1,008.91
United Facility/Professional Professional Modifier Low / Median / High Price $346.16 / $519.25 / $660.44	Professional		$346.16	$519.25	$660.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.61 / $219.61 / $416.74	Professional		$219.61	$219.61	$416.74