Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.16 / $1,526.38 / $5,036.14	Facility		$859.16	$1,526.38	$5,036.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $859.16 / $1,456.09	Professional		$719.07	$859.16	$1,456.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $959.70 / $1,499.87 / $4,341.50	Facility		$959.70	$1,499.87	$4,341.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $959.70 / $4,570.00	Professional		$597.91	$959.70	$4,570.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.56 / $1,871.42 / $2,360.06	Facility		$950.56	$1,871.42	$2,360.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.61 / $1,063.45 / $1,312.82	Professional		$938.61	$1,063.45	$1,312.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,130.90 / $2,827.25	Facility		$914.00	$1,130.90	$2,827.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,553.80 / $2,827.25	Professional		$914.00	$1,553.80	$2,827.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $650.76 / $881.74 / $969.91	Professional		$650.76	$881.74	$969.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $914.00 / $1,371.00	Facility		$914.00	$914.00	$1,371.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,371.00 / $2,513.50	Facility		$914.00	$1,371.00	$2,513.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.60 / $1,096.80 / $1,297.88	Professional		$822.60	$1,096.80	$1,297.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $959.70 / $1,499.87 / $2,513.50	Facility		$959.70	$1,499.87	$2,513.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $827.54 / $1,607.78 / $2,238.51	Professional		$827.54	$1,607.78	$2,238.51
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $1,023.68	Professional		$383.88	$383.88	$1,023.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.30 / $411.30 / $473.45	Professional		$411.30	$411.30	$473.45