Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.35 / $783.95 / $1,441.44	Facility		$345.35	$783.95	$1,441.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $345.35 / $818.48	Professional		$275.79	$345.35	$818.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $465.33 / $1,011.97 / $2,338.92	Facility		$465.33	$1,011.97	$2,338.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $387.94 / $547.41 / $3,892.20	Professional		$387.94	$547.41	$3,892.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $388.32	Facility		$388.32	$388.32	$388.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $330.07 / $388.32	Professional		$330.07	$330.07	$388.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.04 / $551.65 / $1,456.20	Facility		$323.04	$551.65	$1,456.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.31 / $560.62 / $1,032.72	Professional		$341.31	$560.62	$1,032.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $450.72 / $500.80 / $564.10	Professional		$450.72	$500.80	$564.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.28 / $531.41 / $551.57	Facility		$478.28	$531.41	$551.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.33 / $596.79 / $1,037.92	Facility		$465.33	$596.79	$1,037.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.81 / $518.96 / $518.96	Facility		$505.81	$518.96	$518.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $387.94 / $584.55 / $584.55	Professional		$387.94	$584.55	$584.55
United Facility/Professional Professional Modifier Low / Median / High Price $242.72 / $364.08 / $463.07	Professional		$242.72	$364.08	$463.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $451.71 / $451.71	Professional		$427.50	$451.71	$451.71