Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $741.08 / $741.08	Facility		$741.08	$741.08	$741.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.84 / $544.99 / $741.08	Professional		$432.84	$544.99	$741.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $913.42 / $2,543.21 / $2,543.21	Facility		$913.42	$2,543.21	$2,543.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $555.90 / $1,144.64 / $4,806.53	Professional		$555.90	$1,144.64	$4,806.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.16 / $856.27 / $1,696.56	Professional		$507.16	$856.27	$1,696.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $469.03 / $832.15 / $1,204.71	Facility		$469.03	$832.15	$1,204.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.72 / $770.41 / $1,244.27	Professional		$437.72	$770.41	$1,244.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $839.68 / $1,100.84 / $1,119.57	Facility		$839.68	$1,100.84	$1,119.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.26 / $1,252.08 / $1,566.23	Professional		$772.26	$1,252.08	$1,566.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $770.62 / $1,084.20 / $1,344.83	Professional		$770.62	$1,084.20	$1,344.83
United Facility/Professional Professional Modifier Low / Median / High Price $385.72 / $627.74 / $1,092.94	Professional		$385.72	$627.74	$1,092.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $551.61 / $551.61 / $551.61	Professional		$551.61	$551.61	$551.61