Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.18 / $981.05 / $1,024.27	Facility		$432.18	$981.05	$1,024.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.16 / $432.18 / $1,024.27	Professional		$384.16	$432.18	$1,024.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $560.76 / $1,350.35 / $3,392.11	Facility		$560.76	$1,350.35	$3,392.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $454.69 / $557.16 / $4,239.22	Professional		$454.69	$557.16	$4,239.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $400.16	Facility		$400.16	$400.16	$400.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $427.28	Professional		$292.12	$292.12	$427.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $403.13 / $681.33 / $1,754.88	Facility		$403.13	$681.33	$1,754.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.57 / $686.00 / $1,358.75	Professional		$403.57	$686.00	$1,358.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $441.84 / $490.94 / $540.03	Professional		$441.84	$490.94	$540.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.34 / $625.40 / $851.25	Facility		$508.34	$625.40	$851.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $544.35 / $640.41 / $851.25	Professional		$544.35	$640.41	$851.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.76 / $719.21 / $1,250.80	Facility		$560.76	$719.21	$1,250.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $609.54 / $625.40 / $625.40	Facility		$609.54	$625.40	$625.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $508.75 / $544.35 / $704.45	Professional		$508.75	$544.35	$704.45
United Facility/Professional Facility Modifier Low / Median / High Price $853.88 / $1,024.66 / $1,024.66	Facility		$853.88	$1,024.66	$1,024.66
United Facility/Professional Professional Modifier Low / Median / High Price $295.39 / $319.49 / $609.54	Professional		$295.39	$319.49	$609.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $286.22 / $286.22 / $375.02	Professional		$286.22	$286.22	$375.02