Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.79 / $1,109.55 / $1,158.43	Facility		$488.79	$1,109.55	$1,158.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.05 / $488.79 / $1,158.43	Professional		$432.05	$488.79	$1,158.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $658.62 / $1,378.44 / $3,676.89	Facility		$658.62	$1,378.44	$3,676.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $550.99 / $680.12 / $4,607.85	Professional		$550.99	$680.12	$4,607.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $527.25	Facility		$527.25	$527.25	$527.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $384.89 / $527.25	Professional		$384.89	$384.89	$527.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $466.56 / $796.74 / $2,061.08	Facility		$466.56	$796.74	$2,061.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.90 / $809.62 / $1,491.98	Professional		$492.90	$809.62	$1,491.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $518.94 / $576.61 / $634.27	Professional		$518.94	$576.61	$634.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.94 / $752.16 / $864.10	Facility		$676.94	$752.16	$864.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.35 / $658.62 / $1,432.33	Facility		$624.35	$658.62	$1,432.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.35 / $680.12 / $968.36	Professional		$624.35	$680.12	$968.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $715.92 / $734.53 / $734.53	Facility		$715.92	$734.53	$734.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $597.52 / $639.34 / $827.38	Professional		$597.52	$639.34	$827.38
United Facility/Professional Professional Modifier Low / Median / High Price $350.67 / $526.01 / $669.04	Professional		$350.67	$526.01	$669.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.28 / $639.34 / $639.34	Professional		$426.28	$639.34	$639.34