Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.18 / $990.13 / $1,033.75	Facility		$436.18	$990.13	$1,033.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.22 / $436.18 / $1,033.75	Professional		$408.22	$436.18	$1,033.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $587.73 / $1,358.97 / $3,569.44	Facility		$587.73	$1,358.97	$3,569.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $489.98 / $665.61 / $4,296.24	Professional		$489.98	$665.61	$4,296.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $419.41	Facility		$419.41	$419.41	$419.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $488.71	Professional		$306.17	$306.17	$488.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $422.24 / $713.63 / $1,839.31	Facility		$422.24	$713.63	$1,839.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.70 / $718.91 / $1,424.12	Professional		$422.70	$718.91	$1,424.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $463.10 / $514.55 / $566.01	Professional		$463.10	$514.55	$566.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $532.79 / $655.48 / $839.80	Facility		$532.79	$655.48	$839.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $533.22 / $671.21 / $839.80	Professional		$533.22	$671.21	$839.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.73 / $753.80 / $1,310.96	Facility		$587.73	$753.80	$1,310.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $638.87 / $655.48 / $655.48	Facility		$638.87	$655.48	$655.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $533.22 / $570.53 / $738.33	Professional		$533.22	$570.53	$738.33
United Facility/Professional Professional Modifier Low / Median / High Price $334.86 / $504.42 / $638.87	Professional		$334.86	$504.42	$638.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $390.30 / $390.30 / $570.53	Professional		$390.30	$390.30	$570.53