Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.58 / $634.05 / $1,261.21	Facility		$578.58	$634.05	$1,261.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $581.26 / $733.68	Professional		$575.50	$581.26	$733.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $503.98 / $1,030.73 / $3,478.85	Facility		$503.98	$1,030.73	$3,478.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $597.22 / $2,905.58	Professional		$575.50	$597.22	$2,905.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $575.50 / $1,265.76	Facility		$542.92	$575.50	$1,265.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $705.81	Professional		$575.50	$575.50	$705.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $526.61 / $748.15 / $1,404.29	Facility		$526.61	$748.15	$1,404.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.16 / $742.91 / $1,307.54	Professional		$557.16	$742.91	$1,307.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $633.04 / $776.92	Professional		$75.00	$633.04	$776.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $686.44 / $1,198.66	Facility		$575.50	$686.44	$1,198.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.04 / $1,062.08 / $1,943.70	Facility		$590.04	$1,062.08	$1,943.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.35 / $726.39 / $1,272.74	Professional		$695.35	$726.39	$1,272.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $483.60 / $687.15 / $1,374.30	Facility		$483.60	$687.15	$1,374.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $546.73 / $575.50 / $598.52	Professional		$546.73	$575.50	$598.52
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $690.60	Professional		$575.50	$575.50	$690.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $658.10 / $658.10 / $658.10	Professional		$658.10	$658.10	$658.10