Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.46 / $1,279.05 / $1,335.40	Facility		$563.46	$1,279.05	$1,335.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.99 / $563.46 / $1,335.40	Professional		$361.99	$563.46	$1,335.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $759.23 / $1,575.73 / $3,613.43	Facility		$759.23	$1,575.73	$3,613.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $537.21 / $737.00 / $4,729.14	Professional		$537.21	$737.00	$4,729.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $427.25	Facility		$427.25	$427.25	$427.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $311.89 / $427.25	Professional		$311.89	$311.89	$427.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $429.97 / $823.71 / $1,957.50	Facility		$429.97	$823.71	$1,957.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.44 / $823.71 / $1,450.60	Professional		$430.44	$823.71	$1,450.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $598.23 / $664.71 / $731.18	Professional		$598.23	$664.71	$731.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $688.28 / $780.35 / $867.06	Facility		$688.28	$780.35	$867.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $723.97 / $823.71 / $867.06	Professional		$723.97	$823.71	$867.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.23 / $973.75 / $1,693.48	Facility		$759.23	$973.75	$1,693.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $825.28 / $846.74 / $846.74	Facility		$825.28	$846.74	$846.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $688.82 / $737.00 / $953.77	Professional		$688.82	$737.00	$953.77
United Facility/Professional Professional Modifier Low / Median / High Price $341.11 / $513.84 / $650.79	Professional		$341.11	$513.84	$650.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $261.24 / $261.24 / $414.81	Professional		$261.24	$261.24	$414.81