Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.35 / $1,192.54 / $1,245.08	Facility		$525.35	$1,192.54	$1,245.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.13 / $525.35 / $1,245.08	Professional		$322.13	$525.35	$1,245.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $1,539.49 / $3,601.96	Facility		$707.88	$1,539.49	$3,601.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $533.04 / $687.17 / $4,252.00	Professional		$533.04	$687.17	$4,252.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $402.56	Facility		$402.56	$402.56	$402.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $293.87 / $402.56	Professional		$293.87	$293.87	$402.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $405.40 / $773.46 / $1,844.06	Facility		$405.40	$773.46	$1,844.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.85 / $768.01 / $1,367.85	Professional		$405.85	$768.01	$1,367.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $557.75 / $619.73 / $681.70	Professional		$557.75	$619.73	$681.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $629.15 / $789.48 / $808.43	Facility		$629.15	$789.48	$808.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $642.21 / $642.21 / $642.21	Professional		$642.21	$642.21	$642.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $907.90 / $1,578.96	Facility		$707.88	$907.90	$1,578.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $769.47 / $789.48 / $789.48	Facility		$769.47	$789.48	$789.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $642.21 / $687.17 / $889.27	Professional		$642.21	$687.17	$889.27
United Facility/Professional Professional Modifier Low / Median / High Price $321.41 / $484.15 / $613.20	Professional		$321.41	$484.15	$613.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $267.49 / $267.49 / $687.17	Professional		$267.49	$267.49	$687.17