Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.08 / $1,616.42 / $1,687.63	Facility		$712.08	$1,616.42	$1,687.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.94 / $632.96 / $980.30	Professional		$502.94	$632.96	$980.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $923.94 / $2,194.61 / $5,034.28	Facility		$923.94	$2,194.61	$5,034.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $751.40 / $923.39 / $5,442.94	Professional		$751.40	$923.39	$5,442.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $702.03	Facility		$702.03	$702.03	$702.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $512.48 / $702.03	Professional		$512.48	$512.48	$702.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $607.41 / $1,055.16 / $2,765.62	Facility		$607.41	$1,055.16	$2,765.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.09 / $1,067.58 / $2,049.71	Professional		$608.09	$1,067.58	$2,049.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $728.01 / $808.90 / $889.79	Professional		$728.01	$808.90	$889.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $837.56 / $1,030.43 / $1,092.96	Facility		$837.56	$1,030.43	$1,092.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $949.64 / $1,055.16 / $1,092.96	Professional		$949.64	$1,055.16	$1,092.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.94 / $1,184.99 / $2,060.86	Facility		$923.94	$1,184.99	$2,060.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,004.32 / $1,030.43 / $1,030.43	Facility		$1,004.32	$1,030.43	$1,030.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $838.24 / $896.89 / $1,160.68	Professional		$838.24	$896.89	$1,160.68
United Facility/Professional Professional Modifier Low / Median / High Price $445.47 / $556.84 / $919.22	Professional		$445.47	$556.84	$919.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.35 / $347.35 / $445.00	Professional		$347.35	$347.35	$445.00