Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.34 / $1,412.71 / $1,474.95	Facility		$622.34	$1,412.71	$1,474.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.45 / $622.34 / $1,474.95	Professional		$582.45	$622.34	$1,474.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $838.56 / $1,975.75 / $4,987.84	Facility		$838.56	$1,975.75	$4,987.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $699.09 / $853.80 / $6,358.86	Professional		$699.09	$853.80	$6,358.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $694.09	Facility		$694.09	$694.09	$694.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $694.09	Professional		$506.69	$506.69	$694.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $602.41 / $1,018.15 / $2,624.24	Facility		$602.41	$1,018.15	$2,624.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.08 / $1,026.06 / $2,032.34	Professional		$603.08	$1,026.06	$2,032.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.73 / $734.15 / $807.56	Professional		$660.73	$734.15	$807.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.18 / $935.22 / $1,276.88	Facility		$760.18	$935.22	$1,276.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $957.66 / $1,043.84 / $1,276.88	Professional		$957.66	$1,043.84	$1,276.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $838.56 / $1,075.50 / $1,870.44	Facility		$838.56	$1,075.50	$1,870.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $911.52 / $935.22 / $935.22	Facility		$911.52	$935.22	$935.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $760.78 / $814.01 / $1,053.43	Professional		$760.78	$814.01	$1,053.43
United Facility/Professional Professional Modifier Low / Median / High Price $477.77 / $716.65 / $911.52	Professional		$477.77	$716.65	$911.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $142.59 / $582.85	Professional		$142.59	$142.59	$582.85