Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.28 / $868.24 / $1,185.83	Facility		$643.28	$868.24	$1,185.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.53 / $498.83 / $1,124.58	Professional		$381.53	$498.83	$1,124.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $928.52 / $2,255.57 / $2,255.57	Facility		$928.52	$2,255.57	$2,255.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $621.50 / $1,067.34 / $4,146.89	Professional		$621.50	$1,067.34	$4,146.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.85 / $755.85 / $1,482.19	Professional		$447.85	$755.85	$1,482.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $404.24 / $717.20 / $1,078.44	Facility		$404.24	$717.20	$1,078.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.84 / $682.56 / $1,085.65	Professional		$391.84	$682.56	$1,085.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $787.41 / $1,402.30	Professional		$142.12	$787.41	$1,402.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $626.22 / $845.88 / $994.28	Facility		$626.22	$845.88	$994.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.55 / $1,103.74 / $1,390.95	Professional		$684.55	$1,103.74	$1,390.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $685.61 / $964.60 / $1,224.00	Professional		$685.61	$964.60	$1,224.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $656.55 / $1,240.93	Professional		$426.60	$656.55	$1,240.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.34 / $524.01 / $524.01	Professional		$411.34	$524.01	$524.01