Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.09 / $1,023.97 / $1,069.08	Facility		$451.09	$1,023.97	$1,069.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $451.09 / $1,069.08	Professional		$383.32	$451.09	$1,069.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $607.80 / $1,321.85 / $2,994.68	Facility		$607.80	$1,321.85	$2,994.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $439.87 / $590.02 / $3,817.82	Professional		$439.87	$590.02	$3,817.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $444.49	Facility		$444.49	$444.49	$444.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $444.49	Professional		$324.48	$324.48	$444.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $361.72 / $690.18 / $1,646.25	Facility		$361.72	$690.18	$1,646.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.12 / $665.07 / $1,220.56	Professional		$362.12	$665.07	$1,220.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.93 / $532.15 / $585.36	Professional		$478.93	$532.15	$585.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.01 / $677.87 / $766.63	Facility		$551.01	$677.87	$766.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $624.73 / $694.14 / $766.63	Professional		$624.73	$694.14	$766.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.80 / $779.55 / $1,355.74	Facility		$607.80	$779.55	$1,355.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $677.87 / $677.87	Facility		$660.69	$677.87	$677.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $551.45 / $590.02 / $763.55	Professional		$551.45	$590.02	$763.55
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.85 / $430.27 / $547.27	Professional		$286.85	$430.27	$547.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.65 / $590.02 / $590.02	Professional		$349.65	$590.02	$590.02