Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.90 / $1,021.27 / $1,066.26	Facility		$449.90	$1,021.27	$1,066.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.06 / $449.90 / $1,066.26	Professional		$421.06	$449.90	$1,066.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $606.21 / $1,318.38 / $3,605.80	Facility		$606.21	$1,318.38	$3,605.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $491.54 / $606.21 / $4,596.99	Professional		$491.54	$606.21	$4,596.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $432.60	Facility		$432.60	$432.60	$432.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $432.60	Professional		$315.80	$315.80	$432.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $435.43 / $735.93 / $1,897.12	Facility		$435.43	$735.93	$1,897.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.91 / $741.70 / $1,468.81	Professional		$435.91	$741.70	$1,468.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $477.65 / $530.73 / $583.80	Professional		$477.65	$530.73	$583.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $676.09 / $923.09	Facility		$549.54	$676.09	$923.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $623.08 / $692.31 / $923.09	Professional		$623.08	$692.31	$923.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.21 / $777.50 / $1,352.18	Facility		$606.21	$777.50	$1,352.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $658.95 / $676.09 / $676.09	Facility		$658.95	$676.09	$676.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.98 / $588.46 / $761.54	Professional		$549.98	$588.46	$761.54
United Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $345.39 / $456.41	Facility		$5.52	$345.39	$456.41
United Facility/Professional Professional Modifier Low / Median / High Price $345.39 / $532.23 / $658.95	Professional		$345.39	$532.23	$658.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $285.70 / $588.46	Professional		$285.70	$285.70	$588.46