Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.88 / $943.88 / $943.88	Facility		$943.88	$943.88	$943.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.42 / $768.00 / $985.09	Professional		$637.42	$768.00	$985.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,160.21 / $1,668.14 / $3,468.16	Facility		$1,160.21	$1,668.14	$3,468.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $654.88 / $1,468.97 / $6,590.85	Professional		$654.88	$1,468.97	$6,590.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.84 / $1,567.84 / $2,466.51	Professional		$841.84	$1,567.84	$2,466.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $558.04 / $1,036.35 / $1,819.95	Facility		$558.04	$1,036.35	$1,819.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.60 / $977.76 / $1,771.77	Professional		$623.60	$977.76	$1,771.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $1,006.47	Professional		$45.00	$50.00	$1,006.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $561.01 / $708.26 / $745.54	Facility		$561.01	$708.26	$745.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $991.16 / $991.16 / $1,046.99	Facility		$991.16	$991.16	$1,046.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.99 / $1,606.69 / $2,078.17	Professional		$1,046.99	$1,606.69	$2,078.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,121.85 / $1,518.92 / $2,905.51	Facility		$1,121.85	$1,518.92	$2,905.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,010.86 / $1,407.82 / $1,954.89	Professional		$1,010.86	$1,407.82	$1,954.89
United Facility/Professional Facility Modifier Low / Median / High Price $787.40 / $787.40 / $787.40	Facility		$787.40	$787.40	$787.40
United Facility/Professional Professional Modifier Low / Median / High Price $828.72 / $1,278.29 / $2,149.84	Professional		$828.72	$1,278.29	$2,149.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $745.54 / $780.41 / $861.66	Professional		$745.54	$780.41	$861.66