Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.27 / $1,352.46 / $1,697.56	Facility		$716.27	$1,352.46	$1,697.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.45 / $716.27 / $1,239.15	Professional		$583.45	$716.27	$1,239.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $929.38 / $2,207.44 / $5,063.85	Facility		$929.38	$2,207.44	$5,063.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $755.82 / $928.84 / $5,474.86	Professional		$755.82	$928.84	$5,474.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.93 / $607.01 / $607.01	Facility		$386.93	$607.01	$607.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $443.12 / $801.24	Professional		$443.12	$443.12	$801.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $644.64 / $1,100.84 / $2,908.47	Facility		$644.64	$1,100.84	$2,908.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.38 / $1,119.22 / $2,061.30	Professional		$681.38	$1,119.22	$2,061.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $813.66 / $895.02	Professional		$81.37	$813.66	$895.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $842.50 / $1,036.51 / $1,099.36	Facility		$842.50	$1,036.51	$1,099.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $955.25 / $1,061.39 / $1,099.36	Professional		$955.25	$1,061.39	$1,099.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $929.38 / $1,191.99 / $2,073.02	Facility		$929.38	$1,191.99	$2,073.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,010.24 / $1,036.51 / $1,036.51	Facility		$1,010.24	$1,036.51	$1,036.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $843.17 / $902.18 / $1,167.53	Professional		$843.17	$902.18	$1,167.53
United Facility/Professional Professional Modifier Low / Median / High Price $448.09 / $484.64 / $924.63	Professional		$448.09	$484.64	$924.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $635.91 / $902.18 / $902.18	Professional		$635.91	$902.18	$902.18