Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.13 / $1,655.78 / $4,109.06	Facility		$953.13	$1,655.78	$4,109.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $713.96 / $1,025.11	Professional		$455.72	$713.96	$1,025.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $797.51 / $1,519.06 / $3,607.77	Facility		$797.51	$1,519.06	$3,607.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $394.96 / $822.82 / $3,797.65	Professional		$394.96	$822.82	$3,797.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.44 / $1,012.41 / $1,916.26	Facility		$377.44	$1,012.41	$1,916.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.97 / $872.67 / $1,090.83	Professional		$383.97	$872.67	$1,090.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $799.46 / $2,348.58	Facility		$98.31	$799.46	$2,348.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $939.43 / $2,059.87	Professional		$121.92	$939.43	$2,059.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $540.78 / $732.72 / $805.99	Professional		$540.78	$732.72	$805.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $759.53 / $759.53 / $1,676.66	Facility		$759.53	$759.53	$1,676.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.53 / $1,139.30 / $2,088.71	Facility		$759.53	$1,139.30	$2,088.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.58 / $938.02 / $1,405.13	Professional		$683.58	$938.02	$1,405.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $797.51 / $1,246.39 / $2,088.71	Facility		$797.51	$1,246.39	$2,088.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $1,349.93 / $2,049.69	Professional		$645.60	$1,349.93	$2,049.69
United Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $319.00 / $850.67	Professional		$37.86	$319.00	$850.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $341.79 / $341.79 / $393.44	Professional		$341.79	$341.79	$393.44