Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.38 / $674.61 / $1,051.41	Facility		$429.38	$674.61	$1,051.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.25 / $429.38 / $1,022.69	Professional		$318.25	$429.38	$1,022.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.80 / $636.98 / $742.34	Professional		$362.80	$636.98	$742.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $714.01 / $1,727.25 / $1,727.25	Facility		$714.01	$1,727.25	$1,727.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $525.78 / $798.04 / $3,516.49	Professional		$525.78	$798.04	$3,516.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.30 / $687.56 / $1,144.95	Professional		$402.30	$687.56	$1,144.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $357.01 / $651.75 / $930.93	Facility		$357.01	$651.75	$930.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.99 / $646.87 / $938.52	Professional		$349.99	$646.87	$938.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $620.18 / $1,135.13	Professional		$112.80	$620.18	$1,135.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $564.48 / $748.85 / $767.15	Facility		$564.48	$748.85	$767.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.78 / $855.31 / $1,038.63	Professional		$557.78	$855.31	$1,038.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $525.78 / $731.39 / $977.02	Professional		$525.78	$731.39	$977.02
United Facility/Professional Professional Modifier Low / Median / High Price $406.01 / $607.63 / $1,103.57	Professional		$406.01	$607.63	$1,103.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.99 / $398.11 / $398.11	Professional		$314.99	$398.11	$398.11