Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.04 / $952.53 / $3,294.48	Facility		$562.04	$952.53	$3,294.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $358.74 / $884.91	Professional		$358.74	$358.74	$884.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $627.80 / $981.17 / $2,840.07	Facility		$627.80	$981.17	$2,840.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $356.66 / $627.80 / $2,989.55	Professional		$356.66	$627.80	$2,989.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.44 / $1,325.65 / $1,554.56	Facility		$874.44	$1,325.65	$1,554.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.07 / $686.82 / $858.52	Professional		$316.07	$686.82	$858.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $590.24 / $755.55 / $1,849.52	Facility		$590.24	$755.55	$1,849.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $878.93 / $1,654.71	Professional		$597.91	$878.93	$1,654.71
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 $597.91 / $597.91 / $1,255.60	Facility		$597.91	$597.91	$1,255.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $896.87 / $1,644.25	Facility		$597.91	$896.87	$1,644.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $717.49 / $849.03	Professional		$538.12	$717.49	$849.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $627.80 / $981.17 / $1,644.25	Facility		$627.80	$981.17	$1,644.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $541.15 / $1,051.56 / $1,464.12	Professional		$541.15	$1,051.56	$1,464.12
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $251.12 / $669.66	Professional		$251.12	$251.12	$669.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $269.06 / $309.72	Professional		$269.06	$269.06	$309.72