Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.76 / $1,606.62 / $1,677.39	Facility		$707.76	$1,606.62	$1,677.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.34 / $707.76 / $1,677.39	Professional		$608.34	$707.76	$1,677.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $918.34 / $2,181.38 / $5,003.81	Facility		$918.34	$2,181.38	$5,003.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $746.86 / $917.80 / $5,409.92	Professional		$746.86	$917.80	$5,409.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $695.41	Facility		$695.41	$695.41	$695.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $507.65 / $859.82	Professional		$507.65	$507.65	$859.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $633.88 / $1,061.20 / $2,748.75	Facility		$633.88	$1,061.20	$2,748.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.96 / $1,069.75 / $2,037.30	Professional		$636.96	$1,069.75	$2,037.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $723.60 / $804.00 / $884.40	Professional		$723.60	$804.00	$884.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $1,024.19 / $1,086.33	Facility		$832.50	$1,024.19	$1,086.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $832.50 / $1,048.77 / $1,153.65	Professional		$832.50	$1,048.77	$1,153.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.34 / $1,177.82 / $2,048.38	Facility		$918.34	$1,177.82	$2,048.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $998.24 / $1,024.19 / $1,024.19	Facility		$998.24	$1,024.19	$1,024.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $833.16 / $891.45 / $1,153.65	Professional		$833.16	$891.45	$1,153.65
United Facility/Professional Professional Modifier Low / Median / High Price $442.78 / $478.89 / $913.67	Professional		$442.78	$478.89	$913.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.11 / $586.17 / $586.17	Professional		$562.11	$586.17	$586.17