Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.60 / $966.11 / $1,008.67	Facility		$425.60	$966.11	$1,008.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.18 / $425.60 / $1,008.67	Professional		$339.18	$425.60	$1,008.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $573.47 / $1,247.16 / $3,124.60	Facility		$573.47	$1,247.16	$3,124.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $466.37 / $573.14 / $3,378.23	Professional		$466.37	$573.14	$3,378.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $434.07	Facility		$434.07	$434.07	$434.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $434.07	Professional		$316.87	$316.87	$434.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $397.92 / $679.53 / $1,794.60	Facility		$397.92	$679.53	$1,794.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.36 / $690.47 / $1,271.85	Professional		$420.36	$690.47	$1,271.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $451.85 / $502.06 / $552.26	Professional		$451.85	$502.06	$552.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $519.85 / $639.57 / $678.36	Facility		$519.85	$639.57	$678.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $654.91 / $654.91 / $678.36	Professional		$654.91	$654.91	$678.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $573.47 / $735.51 / $1,279.14	Facility		$573.47	$735.51	$1,279.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $623.36 / $639.57 / $639.57	Facility		$623.36	$639.57	$639.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $520.27 / $556.67 / $720.41	Professional		$520.27	$556.67	$720.41
United Facility/Professional Professional Modifier Low / Median / High Price $299.04 / $448.56 / $570.53	Professional		$299.04	$448.56	$570.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $403.13 / $556.67 / $556.67	Professional		$403.13	$556.67	$556.67