Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.21 / $1,339.24 / $4,631.97	Facility		$790.21	$1,339.24	$4,631.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.02 / $790.21 / $1,244.16	Professional		$502.02	$790.21	$1,244.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $882.68 / $1,379.51 / $3,993.09	Facility		$882.68	$1,379.51	$3,993.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $378.36 / $882.68 / $4,203.25	Professional		$378.36	$882.68	$4,203.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.34 / $1,229.45 / $2,120.92	Facility		$418.34	$1,229.45	$2,120.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.33 / $966.01 / $1,207.51	Professional		$444.33	$966.01	$1,207.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $829.56 / $1,062.45 / $2,600.19	Facility		$829.56	$1,062.45	$2,600.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $1,235.76 / $2,326.30	Professional		$840.65	$1,235.76	$2,326.30
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 $840.65 / $840.65 / $1,765.37	Facility		$840.65	$840.65	$1,765.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $1,260.98 / $2,311.79	Facility		$840.65	$1,260.98	$2,311.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.59 / $1,008.78 / $1,193.72	Professional		$756.59	$1,008.78	$1,193.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $882.68 / $1,379.51 / $2,311.79	Facility		$882.68	$1,379.51	$2,311.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $761.07 / $1,478.39 / $2,059.23	Professional		$761.07	$1,478.39	$2,059.23
United Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $353.07 / $941.53	Professional		$248.06	$353.07	$941.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.29 / $378.29 / $435.46	Professional		$378.29	$378.29	$435.46