Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.80 / $1,477.34 / $1,542.42	Facility		$650.80	$1,477.34	$1,542.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.12 / $650.80 / $1,125.90	Professional		$530.12	$650.80	$1,125.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $844.45 / $2,005.70 / $4,601.05	Facility		$844.45	$2,005.70	$4,601.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $686.74 / $843.96 / $4,974.32	Professional		$686.74	$843.96	$4,974.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $551.53	Facility		$551.53	$551.53	$551.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $551.53	Professional		$402.62	$402.62	$551.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $585.60 / $1,000.03 / $2,642.67	Facility		$585.60	$1,000.03	$2,642.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.07 / $1,016.87 / $1,872.63	Professional		$619.07	$1,016.87	$1,872.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $665.37 / $739.31 / $813.24	Professional		$665.37	$739.31	$813.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $765.51 / $941.79 / $998.86	Facility		$765.51	$941.79	$998.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $867.95 / $964.39 / $998.86	Professional		$867.95	$964.39	$998.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $844.45 / $1,083.06 / $1,883.58	Facility		$844.45	$1,083.06	$1,883.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $917.92 / $941.79 / $941.79	Facility		$917.92	$941.79	$941.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $766.12 / $819.73 / $1,060.83	Professional		$766.12	$819.73	$1,060.83
United Facility/Professional Professional Modifier Low / Median / High Price $407.14 / $458.21 / $840.12	Professional		$407.14	$458.21	$840.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $506.78 / $819.73 / $819.73	Professional		$506.78	$819.73	$819.73