Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.18 / $1,607.57 / $4,579.18	Facility		$708.18	$1,607.57	$4,579.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.16 / $708.18 / $1,225.15	Professional		$600.16	$708.18	$1,225.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $944.46 / $944.46 / $944.46	Professional		$944.46	$944.46	$944.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $918.89 / $2,182.53 / $5,006.71	Facility		$918.89	$2,182.53	$5,006.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $747.29 / $918.35 / $5,412.81	Professional		$747.29	$918.35	$5,412.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $860.28	Facility		$731.38	$731.38	$860.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $533.91 / $860.28	Professional		$533.91	$533.91	$860.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $637.44 / $1,088.56 / $2,875.62	Facility		$637.44	$1,088.56	$2,875.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.63 / $1,106.49 / $2,038.13	Professional		$673.63	$1,106.49	$2,038.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.02 / $804.47 / $884.91	Professional		$724.02	$804.47	$884.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $832.99 / $1,024.80 / $1,086.91	Facility		$832.99	$1,024.80	$1,086.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $944.46 / $1,049.40 / $1,086.91	Professional		$944.46	$1,049.40	$1,086.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.89 / $1,178.52 / $2,049.60	Facility		$918.89	$1,178.52	$2,049.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $998.83 / $1,024.80 / $1,024.80	Facility		$998.83	$1,024.80	$1,024.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $833.65 / $891.99 / $1,154.33	Professional		$833.65	$891.99	$1,154.33
United Facility/Professional Professional Modifier Low / Median / High Price $443.03 / $479.95 / $914.19	Professional		$443.03	$479.95	$914.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $580.35 / $832.61 / $832.61	Professional		$580.35	$832.61	$832.61