Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.35 / $1,090.39 / $1,138.43	Facility		$480.35	$1,090.39	$1,138.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.18 / $480.35 / $1,138.43	Professional		$319.18	$480.35	$1,138.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $647.24 / $1,513.94 / $3,399.27	Facility		$647.24	$1,513.94	$3,399.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $505.73 / $628.29 / $4,786.20	Professional		$505.73	$628.29	$4,786.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $412.94	Facility		$412.94	$412.94	$412.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $412.94	Professional		$301.45	$301.45	$412.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $401.76 / $739.16 / $1,827.18	Facility		$401.76	$739.16	$1,827.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.20 / $735.28 / $1,353.79	Professional		$402.20	$735.28	$1,353.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $509.99 / $566.66 / $623.32	Professional		$509.99	$566.66	$623.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $586.74 / $665.24 / $739.16	Facility		$586.74	$665.24	$739.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $638.35 / $702.19 / $739.16	Professional		$638.35	$702.19	$739.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.24 / $830.12 / $1,443.68	Facility		$647.24	$830.12	$1,443.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $703.55 / $721.84 / $721.84	Facility		$703.55	$721.84	$721.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $587.21 / $628.29 / $813.08	Professional		$587.21	$628.29	$813.08
United Facility/Professional Professional Modifier Low / Median / High Price $318.47 / $479.73 / $607.59	Professional		$318.47	$479.73	$607.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $156.12 / $628.29	Professional		$156.12	$156.12	$628.29