Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.85 / $1,333.57 / $2,200.39	Facility		$1,218.85	$1,333.57	$2,200.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.25 / $1,217.90 / $1,428.11	Professional		$335.25	$1,217.90	$1,428.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $611.51 / $2,159.44 / $3,820.34	Facility		$611.51	$2,159.44	$3,820.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $371.55 / $736.74 / $2,582.63	Professional		$371.55	$736.74	$2,582.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,060.50 / $2,564.13 / $4,659.12	Facility		$1,060.50	$2,564.13	$4,659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $471.64 / $471.64	Professional		$471.64	$471.64	$471.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,586.21 / $3,469.32 / $8,697.08	Facility		$2,586.21	$3,469.32	$8,697.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,372.41 / $1,372.41 / $1,372.41	Professional		$1,372.41	$1,372.41	$1,372.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $217.22 / $289.24 / $970.46	Facility		$217.22	$289.24	$970.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.34 / $406.34 / $409.93	Facility		$406.34	$406.34	$409.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.23 / $694.28 / $840.76	Professional		$441.23	$694.28	$840.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,217.61 / $2,880.97 / $5,407.87	Facility		$2,217.61	$2,880.97	$5,407.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.00 / $560.36 / $747.30	Professional		$416.00	$560.36	$747.30
United Facility/Professional Professional Modifier Low / Median / High Price $950.55 / $1,045.58 / $2,557.33	Professional		$950.55	$1,045.58	$2,557.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $40.61 / $338.94	Professional		$40.61	$40.61	$338.94