Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.57 / $1,097.70 / $1,146.06	Facility		$483.57	$1,097.70	$1,146.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.50 / $483.57 / $1,146.06	Professional		$342.50	$483.57	$1,146.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $651.58 / $1,417.05 / $3,451.92	Facility		$651.58	$1,417.05	$3,451.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $475.84 / $639.95 / $3,683.44	Professional		$475.84	$639.95	$3,683.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $418.79	Facility		$418.79	$418.79	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $305.72 / $418.79	Professional		$305.72	$305.72	$418.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $421.78 / $744.13 / $1,919.06	Facility		$421.78	$744.13	$1,919.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.24 / $744.13 / $1,422.47	Professional		$422.24	$744.13	$1,422.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $513.39 / $570.44 / $627.48	Professional		$513.39	$570.44	$627.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $590.65 / $684.99 / $744.13	Facility		$590.65	$684.99	$744.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $590.65 / $684.99 / $744.13	Professional		$590.65	$684.99	$744.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $651.58 / $835.69 / $1,453.38	Facility		$651.58	$835.69	$1,453.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $708.27 / $726.69 / $726.69	Facility		$708.27	$726.69	$726.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $591.13 / $632.51 / $818.54	Professional		$591.13	$632.51	$818.54
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $334.36 / $497.18 / $637.91	Professional		$334.36	$497.18	$637.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $448.79 / $632.51 / $632.51	Professional		$448.79	$632.51	$632.51