Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.96 / $1,745.54 / $1,822.44	Facility		$768.96	$1,745.54	$1,822.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.17 / $768.96 / $1,822.44	Professional		$610.17	$768.96	$1,822.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $997.75 / $2,818.59 / $5,885.29	Facility		$997.75	$2,818.59	$5,885.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $831.81 / $1,016.97 / $6,973.54	Professional		$831.81	$1,016.97	$6,973.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $680.86	Facility		$680.86	$680.86	$680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $497.03 / $680.86	Professional		$497.03	$497.03	$680.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $685.68 / $1,166.97 / $3,120.00	Facility		$685.68	$1,166.97	$3,120.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.43 / $1,166.97 / $2,312.03	Professional		$686.43	$1,166.97	$2,312.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $786.16 / $873.52 / $960.87	Professional		$786.16	$873.52	$960.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $904.48 / $1,089.60 / $1,139.46	Facility		$904.48	$1,089.60	$1,139.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,082.49 / $1,139.46 / $1,139.46	Professional		$1,082.49	$1,139.46	$1,139.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $997.75 / $1,279.66 / $2,225.50	Facility		$997.75	$1,279.66	$2,225.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,084.55 / $1,112.75 / $1,112.75	Facility		$1,084.55	$1,112.75	$1,112.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $905.20 / $968.54 / $1,253.41	Professional		$905.20	$968.54	$1,253.41
United Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $538.75 / $543.59	Facility		$8.68	$538.75	$543.59
United Facility/Professional Professional Modifier Low / Median / High Price $502.60 / $586.36 / $1,037.10	Professional		$502.60	$586.36	$1,037.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $523.53 / $523.53 / $663.62	Professional		$523.53	$523.53	$663.62