Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.61 / $1,011.53 / $7,054.37	Facility		$435.61	$1,011.53	$7,054.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.52 / $425.76 / $782.37	Professional		$276.52	$425.76	$782.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $460.88 / $877.86 / $6,102.49	Facility		$460.88	$877.86	$6,102.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $265.55 / $995.30 / $6,454.55	Professional		$265.55	$995.30	$6,454.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.10 / $898.70 / $1,283.84	Facility		$560.10	$898.70	$1,283.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $510.63 / $1,498.36	Professional		$273.88	$510.63	$1,498.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $534.75 / $1,303.95 / $2,216.71	Facility		$534.75	$1,303.95	$2,216.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.25 / $1,191.18 / $1,594.74	Professional		$543.25	$1,191.18	$1,594.74
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 $438.93 / $612.33 / $1,955.93	Facility		$438.93	$612.33	$1,955.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.93 / $658.40 / $1,207.06	Facility		$438.93	$658.40	$1,207.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $526.72 / $623.28	Professional		$395.04	$526.72	$623.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $460.88 / $720.28 / $1,338.74	Facility		$460.88	$720.28	$1,338.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $585.82 / $912.75 / $1,442.17	Professional		$585.82	$912.75	$1,442.17
United Facility/Professional Professional Modifier Low / Median / High Price $184.35 / $184.35 / $526.72	Professional		$184.35	$184.35	$526.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.37 / $227.37 / $586.78	Professional		$227.37	$227.37	$586.78