Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.35 / $517.42 / $1,226.31	Facility		$298.35	$517.42	$1,226.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.93 / $517.42 / $895.15	Professional		$421.93	$517.42	$895.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $697.20 / $3,658.96 / $3,658.96	Facility		$697.20	$3,658.96	$3,658.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $428.25 / $875.84 / $6,094.20	Professional		$428.25	$875.84	$6,094.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $502.54 / $502.54	Facility		$502.54	$502.54	$502.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $427.16 / $502.54	Professional		$427.16	$427.16	$502.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $762.88 / $1,399.11	Facility		$398.11	$762.88	$1,399.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.29 / $796.22 / $1,491.15	Professional		$442.29	$796.22	$1,491.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $796.22 / $796.22	Professional		$60.00	$796.22	$796.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $716.60 / $796.22 / $936.69	Facility		$716.60	$796.22	$936.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.20 / $697.20 / $1,289.19	Facility		$697.20	$697.20	$1,289.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $581.24 / $875.84 / $875.84	Professional		$581.24	$875.84	$875.84
United Facility/Professional Professional Modifier Low / Median / High Price $350.48 / $467.30 / $668.67	Professional		$350.48	$467.30	$668.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $428.25 / $676.79 / $676.79	Professional		$428.25	$676.79	$676.79