Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $906.00 / $1,226.00	Facility		$517.29	$906.00	$1,226.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.02 / $517.29 / $1,226.00	Professional		$398.02	$517.29	$1,226.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $697.03 / $1,438.13 / $3,318.92	Facility		$697.03	$1,438.13	$3,318.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $489.96 / $690.18 / $4,654.76	Professional		$489.96	$690.18	$4,654.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $386.20	Facility		$386.20	$386.20	$386.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $386.20	Professional		$281.93	$281.93	$386.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $396.48 / $796.03 / $2,181.28	Facility		$396.48	$796.03	$2,181.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.81 / $762.68 / $1,266.90	Professional		$418.81	$762.68	$1,266.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $549.20 / $610.23 / $671.25	Professional		$549.20	$610.23	$671.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $716.43 / $777.37 / $875.63	Facility		$716.43	$777.37	$875.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $632.36 / $632.36 / $632.36	Professional		$632.36	$632.36	$632.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.03 / $893.98 / $1,554.74	Facility		$697.03	$893.98	$1,554.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $757.67 / $777.37 / $777.37	Facility		$757.67	$777.37	$777.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $632.36 / $676.63 / $875.63	Professional		$632.36	$676.63	$875.63
United Facility/Professional Professional Modifier Low / Median / High Price $297.85 / $448.21 / $568.25	Professional		$297.85	$448.21	$568.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $676.63 / $676.63	Professional		$412.43	$676.63	$676.63