Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.79 / $1,168.59 / $1,220.08	Facility		$514.79	$1,168.59	$1,220.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.29 / $514.79 / $1,220.08	Professional		$410.29	$514.79	$1,220.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $693.66 / $1,317.36 / $3,779.52	Facility		$693.66	$1,317.36	$3,779.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $578.29 / $699.60 / $4,086.44	Professional		$578.29	$699.60	$4,086.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $525.23	Facility		$525.23	$525.23	$525.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $383.42 / $525.23	Professional		$383.42	$383.42	$525.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $481.44 / $822.15 / $2,170.76	Facility		$481.44	$822.15	$2,170.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.40 / $835.08 / $1,538.32	Professional		$508.40	$835.08	$1,538.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $546.55 / $607.28 / $668.00	Professional		$546.55	$607.28	$668.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $773.61 / $792.18 / $871.40	Facility		$773.61	$792.18	$871.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $792.18 / $792.18 / $792.18	Professional		$792.18	$792.18	$792.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.57 / $693.66 / $1,508.54	Facility		$657.57	$693.66	$1,508.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.57 / $716.31 / $889.65	Professional		$657.57	$716.31	$889.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $754.01 / $773.61 / $773.61	Facility		$754.01	$773.61	$773.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $629.30 / $673.35 / $871.40	Professional		$629.30	$673.35	$871.40
United Facility/Professional Professional Modifier Low / Median / High Price $361.72 / $544.33 / $690.11	Professional		$361.72	$544.33	$690.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $440.91 / $673.35 / $673.35	Professional		$440.91	$673.35	$673.35