Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $1,250.57 / $1,305.66	Facility		$550.91	$1,250.57	$1,305.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.91 / $550.91 / $1,305.66	Professional		$317.91	$550.91	$1,305.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $742.33 / $1,555.41 / $3,410.50	Facility		$742.33	$1,555.41	$3,410.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $498.61 / $720.60 / $4,196.41	Professional		$498.61	$720.60	$4,196.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $528.47	Facility		$528.47	$528.47	$528.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $385.78 / $528.47	Professional		$385.78	$385.78	$528.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $399.94 / $805.37 / $1,820.62	Facility		$399.94	$805.37	$1,820.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.38 / $805.37 / $1,349.65	Professional		$400.38	$805.37	$1,349.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $584.91 / $649.90 / $714.89	Professional		$584.91	$649.90	$714.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $729.87 / $847.76	Facility		$620.91	$729.87	$847.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $635.82 / $805.37 / $847.76	Professional		$635.82	$805.37	$847.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.33 / $952.07 / $1,655.78	Facility		$742.33	$952.07	$1,655.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $806.91 / $827.89 / $827.89	Facility		$806.91	$827.89	$827.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $673.47 / $720.60 / $932.54	Professional		$673.47	$720.60	$932.54
United Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $477.82 / $605.17	Professional		$317.20	$477.82	$605.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $285.70 / $720.60	Professional		$285.70	$285.70	$720.60