Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.58 / $1,177.18 / $1,229.03	Facility		$518.58	$1,177.18	$1,229.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.29 / $518.58 / $1,229.03	Professional		$354.29	$518.58	$1,229.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $698.75 / $1,519.62 / $3,937.24	Facility		$698.75	$1,519.62	$3,937.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $579.30 / $694.41 / $4,534.89	Professional		$579.30	$694.41	$4,534.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $511.94	Facility		$511.94	$511.94	$511.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $523.95	Professional		$373.72	$373.72	$523.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $445.90 / $797.99 / $2,028.75	Facility		$445.90	$797.99	$2,028.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.39 / $797.99 / $1,504.39	Professional		$446.39	$797.99	$1,504.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $550.57 / $611.75 / $672.92	Professional		$550.57	$611.75	$672.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $633.44 / $718.19 / $797.99	Facility		$633.44	$718.19	$797.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $678.29 / $797.99 / $797.99	Professional		$678.29	$797.99	$797.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $698.75 / $896.18 / $1,558.58	Facility		$698.75	$896.18	$1,558.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $759.54 / $779.29 / $779.29	Facility		$759.54	$779.29	$779.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $633.94 / $678.29 / $877.79	Professional		$633.94	$678.29	$877.79
United Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $532.50 / $674.44	Professional		$353.50	$532.50	$674.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $332.54 / $332.54 / $678.29	Professional		$332.54	$332.54	$678.29