Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.16 / $778.40 / $1,306.53	Facility		$522.16	$778.40	$1,306.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.11 / $522.16 / $1,213.07	Professional		$385.11	$522.16	$1,213.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $994.98 / $1,933.38 / $3,637.60	Facility		$994.98	$1,933.38	$3,637.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $550.24 / $924.19 / $4,246.14	Professional		$550.24	$924.19	$4,246.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.84 / $1,060.50 / $1,941.27	Facility		$518.84	$1,060.50	$1,941.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $820.97 / $1,353.42	Professional		$412.16	$820.97	$1,353.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $493.48 / $938.32 / $1,763.80	Facility		$493.48	$938.32	$1,763.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.28 / $949.78 / $1,646.20	Professional		$461.28	$949.78	$1,646.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $338.47 / $798.39	Professional		$67.31	$338.47	$798.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $618.62 / $773.18 / $1,089.83	Facility		$618.62	$773.18	$1,089.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $226.98 / $274.64 / $345.96	Professional		$226.98	$274.64	$345.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.38 / $539.52 / $544.29	Facility		$527.38	$539.52	$544.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.55 / $908.66 / $1,160.00	Professional		$600.55	$908.66	$1,160.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $954.34 / $1,524.33 / $2,973.07	Facility		$954.34	$1,524.33	$2,973.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $550.24 / $798.57 / $1,157.90	Professional		$550.24	$798.57	$1,157.90
United Facility/Professional Professional Modifier Low / Median / High Price $383.76 / $634.82 / $1,227.92	Professional		$383.76	$634.82	$1,227.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.76 / $425.76 / $425.76	Professional		$425.76	$425.76	$425.76