Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.66 / $904.76 / $1,058.76	Facility		$604.66	$904.76	$1,058.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $604.66 / $708.52	Professional		$569.09	$604.66	$708.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $525.94 / $757.35 / $2,464.60	Facility		$525.94	$757.35	$2,464.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $711.36 / $3,280.92 / $3,679.50	Professional		$711.36	$3,280.92	$3,679.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $628.37 / $1,256.74	Facility		$628.37	$628.37	$1,256.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $770.64	Professional		$628.37	$628.37	$770.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $546.84 / $983.88 / $1,793.40	Facility		$546.84	$983.88	$1,793.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.84 / $961.38 / $1,430.62	Professional		$546.84	$961.38	$1,430.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $691.20 / $754.04	Professional		$70.00	$691.20	$754.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $695.20 / $835.02 / $846.88	Facility		$695.20	$835.02	$846.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $525.94 / $631.13 / $1,199.14	Facility		$525.94	$631.13	$1,199.14
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $592.79 / $711.36	Professional		$592.79	$592.79	$711.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Professional		$628.37	$628.37	$628.37