Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.77 / $1,481.79 / $1,547.06	Facility		$652.77	$1,481.79	$1,547.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.65 / $652.77 / $1,547.06	Professional		$511.65	$652.77	$1,547.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $879.57 / $1,814.76 / $4,009.36	Facility		$879.57	$1,814.76	$4,009.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $558.75 / $853.82 / $5,096.03	Professional		$558.75	$853.82	$5,096.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $572.20	Facility		$572.20	$572.20	$572.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $417.71 / $572.20	Professional		$417.71	$417.71	$572.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $482.75 / $954.27 / $2,197.50	Facility		$482.75	$954.27	$2,197.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.28 / $954.27 / $1,628.52	Professional		$483.28	$954.27	$1,628.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $693.05 / $770.06 / $847.06	Professional		$693.05	$770.06	$847.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $797.36 / $980.95 / $1,023.30	Facility		$797.36	$980.95	$1,023.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $904.04 / $1,004.49 / $1,125.63	Professional		$904.04	$1,004.49	$1,125.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.57 / $1,128.08 / $1,961.90	Facility		$879.57	$1,128.08	$1,961.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $956.09 / $980.95 / $980.95	Facility		$956.09	$980.95	$980.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $797.99 / $853.82 / $1,104.94	Professional		$797.99	$853.82	$1,104.94
United Facility/Professional Professional Modifier Low / Median / High Price $382.88 / $576.76 / $730.49	Professional		$382.88	$576.76	$730.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.63 / $398.63 / $468.88	Professional		$398.63	$398.63	$468.88