Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.90 / $1,338.81 / $4,169.25	Facility		$564.90	$1,338.81	$4,169.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.31 / $564.90 / $1,039.02	Professional		$438.31	$564.90	$1,039.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $761.17 / $3,676.21 / $3,676.21	Facility		$761.17	$3,676.21	$3,676.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $465.71 / $912.73 / $5,820.60	Professional		$465.71	$912.73	$5,820.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $451.71	Facility		$451.71	$451.71	$451.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $383.95 / $451.71	Professional		$383.95	$383.95	$451.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $413.69 / $825.81 / $1,453.70	Facility		$413.69	$825.81	$1,453.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.59 / $840.68 / $1,548.25	Professional		$459.59	$840.68	$1,548.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $869.27 / $869.27	Professional		$60.00	$869.27	$869.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $782.34 / $848.90 / $888.07	Facility		$782.34	$848.90	$888.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $690.55 / $690.55 / $690.55	Professional		$690.55	$690.55	$690.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $761.17 / $761.17 / $1,407.48	Facility		$761.17	$761.17	$1,407.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $634.57 / $956.20 / $956.20	Professional		$634.57	$956.20	$956.20
United Facility/Professional Professional Modifier Low / Median / High Price $364.09 / $546.13 / $694.63	Professional		$364.09	$546.13	$694.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $441.74 / $738.88 / $738.88	Professional		$441.74	$738.88	$738.88