Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.35 / $494.35 / $494.35	Facility		$494.35	$494.35	$494.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $494.35 / $527.17	Professional		$449.41	$494.35	$527.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $1,804.03 / $2,870.93	Facility		$449.41	$1,804.03	$2,870.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $3,062.32	Professional		$449.41	$449.41	$3,062.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.97 / $423.97 / $965.44	Facility		$423.97	$423.97	$965.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $551.16	Professional		$449.41	$449.41	$551.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $606.70	Facility		$449.41	$449.41	$606.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $606.70	Professional		$449.41	$449.41	$606.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $483.65 / $932.73	Facility		$449.41	$483.65	$932.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.59 / $1,145.40 / $1,145.40	Facility		$723.59	$1,145.40	$1,145.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.70 / $723.59 / $1,186.68	Professional		$665.70	$723.59	$1,186.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.94 / $449.41 / $449.41	Professional		$426.94	$449.41	$449.41
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $539.29	Professional		$449.41	$449.41	$539.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $613.60	Professional		$449.41	$449.41	$613.60