Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.47 / $721.47 / $721.47	Facility		$721.47	$721.47	$721.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.69 / $721.47 / $779.44	Professional		$594.69	$721.47	$779.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,552.00 / $2,231.44 / $4,532.39	Facility		$1,552.00	$2,231.44	$4,532.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $887.50 / $1,478.98 / $5,535.30	Professional		$887.50	$1,478.98	$5,535.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.24 / $1,841.24 / $3,111.98	Facility		$891.24	$1,841.24	$3,111.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.59 / $1,010.59 / $1,010.59	Professional		$1,010.59	$1,010.59	$1,010.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.50 / $815.22 / $6,758.46	Facility		$724.50	$815.22	$6,758.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $815.22 / $2,261.85	Professional		$570.54	$815.22	$2,261.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.73 / $599.77 / $799.32	Facility		$379.73	$599.77	$799.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.21 / $870.21 / $878.35	Facility		$870.21	$870.21	$878.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.82 / $1,465.14 / $1,749.45	Professional		$986.82	$1,465.14	$1,749.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,552.00 / $2,031.83 / $3,886.67	Facility		$1,552.00	$2,031.83	$3,886.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $887.50 / $1,263.52 / $1,651.00	Professional		$887.50	$1,263.52	$1,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.89 / $820.59 / $1,613.62	Professional		$701.89	$820.59	$1,613.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.21 / $191.21 / $599.77	Professional		$191.21	$191.21	$599.77