Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.37 / $1,347.91 / $7,054.37	Facility		$760.37	$1,347.91	$7,054.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.80 / $736.98 / $865.65	Professional		$549.80	$736.98	$865.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $1,169.80 / $6,102.49	Facility		$614.15	$1,169.80	$6,102.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $358.54 / $1,087.38 / $6,454.55	Professional		$358.54	$1,087.38	$6,454.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.36 / $1,197.59 / $1,710.86	Facility		$746.36	$1,197.59	$1,710.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.05 / $705.97 / $1,498.36	Professional		$365.05	$705.97	$1,498.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $712.69 / $1,303.95 / $2,086.32	Facility		$712.69	$1,303.95	$2,086.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.55 / $1,303.95 / $2,001.56	Professional		$723.55	$1,303.95	$2,001.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.44 / $572.61 / $1,383.71	Professional		$416.44	$572.61	$1,383.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $815.97 / $1,955.93	Facility		$584.90	$815.97	$1,955.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $877.35 / $1,608.48	Facility		$584.90	$877.35	$1,608.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $701.88 / $830.56	Professional		$526.41	$701.88	$830.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $959.82 / $1,783.95	Facility		$614.15	$959.82	$1,783.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $780.78 / $1,155.05 / $1,578.14	Professional		$780.78	$1,155.05	$1,578.14
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $263.20 / $1,238.75	Professional		$245.66	$263.20	$1,238.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.98 / $302.98 / $586.78	Professional		$302.98	$302.98	$586.78