Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.05 / $1,713.96 / $1,789.47	Facility		$755.05	$1,713.96	$1,789.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.42 / $755.05 / $1,789.47	Professional		$508.42	$755.05	$1,789.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $979.71 / $2,130.63 / $4,501.32	Facility		$979.71	$2,130.63	$4,501.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $659.91 / $951.02 / $5,538.31	Professional		$659.91	$951.02	$5,538.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $586.54	Professional		$382.77	$382.77	$586.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $527.79 / $1,062.91 / $2,401.87	Facility		$527.79	$1,062.91	$2,401.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.38 / $1,062.91 / $1,780.78	Professional		$528.38	$1,062.91	$1,780.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $771.94 / $857.72 / $943.49	Professional		$771.94	$857.72	$943.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $886.61 / $998.68 / $1,118.84	Facility		$886.61	$998.68	$1,118.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $907.89 / $1,118.84 / $1,118.84	Professional		$907.89	$1,118.84	$1,118.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.71 / $1,256.52 / $2,185.26	Facility		$979.71	$1,256.52	$2,185.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,064.94 / $1,092.63 / $1,092.63	Facility		$1,064.94	$1,092.63	$1,092.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $888.83 / $951.02 / $1,230.74	Professional		$888.83	$951.02	$1,230.74
United Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $488.41 / $798.71	Professional		$387.06	$488.41	$798.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.06 / $231.06 / $505.33	Professional		$231.06	$231.06	$505.33