Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.23 / $1,049.26 / $1,805.50	Facility		$462.23	$1,049.26	$1,805.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.56 / $462.23 / $1,826.00	Professional		$383.56	$462.23	$1,826.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $613.41 / $613.41 / $613.41	Professional		$613.41	$613.41	$613.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $599.75 / $1,684.72 / $3,814.11	Facility		$599.75	$1,684.72	$3,814.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $644.16 / $4,383.55	Professional		$500.00	$644.16	$4,383.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $335.80 / $460.00	Professional		$335.80	$335.80	$460.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $430.88 / $728.24 / $1,876.90	Facility		$430.88	$728.24	$1,876.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.35 / $734.10 / $1,453.91	Professional		$431.35	$734.10	$1,453.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $472.57 / $525.08 / $577.58	Professional		$472.57	$525.08	$577.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.69 / $668.88 / $684.93	Facility		$543.69	$668.88	$684.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $582.19 / $684.93 / $753.42	Professional		$582.19	$684.93	$753.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.75 / $769.21 / $1,337.76	Facility		$599.75	$769.21	$1,337.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $651.91 / $668.88 / $668.88	Facility		$651.91	$668.88	$668.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $544.12 / $582.19 / $753.42	Professional		$544.12	$582.19	$753.42
United Facility/Professional Professional Modifier Low / Median / High Price $315.94 / $341.71 / $651.91	Professional		$315.94	$341.71	$651.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $600.15 / $600.15	Professional		$330.00	$600.15	$600.15