Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.36 / $1,285.64 / $1,342.27	Facility		$566.36	$1,285.64	$1,342.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.46 / $566.36 / $1,342.27	Professional		$393.46	$566.36	$1,342.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $763.13 / $1,702.18 / $4,034.25	Facility		$763.13	$1,702.18	$4,034.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $581.44 / $749.51 / $4,651.54	Professional		$581.44	$749.51	$4,651.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $644.36	Facility		$644.36	$644.36	$644.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $470.38 / $644.36	Professional		$470.38	$470.38	$644.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $472.74 / $871.52 / $2,151.56	Facility		$472.74	$871.52	$2,151.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.26 / $865.13 / $1,593.76	Professional		$473.26	$865.13	$1,593.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $601.29 / $668.11 / $734.92	Professional		$601.29	$668.11	$734.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.79 / $784.37 / $871.52	Facility		$691.79	$784.37	$871.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $751.38 / $826.52 / $871.52	Professional		$751.38	$826.52	$871.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $763.13 / $978.75 / $1,702.18	Facility		$763.13	$978.75	$1,702.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $829.52 / $851.09 / $851.09	Facility		$829.52	$851.09	$851.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $692.34 / $740.79 / $958.67	Professional		$692.34	$740.79	$958.67
United Facility/Professional Professional Modifier Low / Median / High Price $358.14 / $564.66 / $715.17	Professional		$358.14	$564.66	$715.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $296.63 / $740.79	Professional		$296.63	$296.63	$740.79