Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.47 / $1,038.46 / $1,084.20	Facility		$457.47	$1,038.46	$1,084.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.90 / $457.47 / $1,084.20	Professional		$425.90	$457.47	$1,084.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $527.97 / $527.97 / $527.97	Professional		$527.97	$527.97	$527.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $616.41 / $1,340.55 / $3,432.45	Facility		$616.41	$1,340.55	$3,432.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $493.22 / $605.41 / $4,241.91	Professional		$493.22	$605.41	$4,241.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $410.92	Professional		$299.97	$299.97	$410.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $413.59 / $704.57 / $1,882.50	Facility		$413.59	$704.57	$1,882.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.04 / $718.04 / $1,395.99	Professional		$414.04	$718.04	$1,395.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $485.70 / $539.66 / $593.63	Professional		$485.70	$539.66	$593.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.79 / $687.46 / $851.79	Facility		$558.79	$687.46	$851.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $559.24 / $703.96 / $851.79	Professional		$559.24	$703.96	$851.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.41 / $790.58 / $1,374.92	Facility		$616.41	$790.58	$1,374.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $670.04 / $687.46 / $687.46	Facility		$670.04	$687.46	$687.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $559.24 / $598.37 / $774.36	Professional		$559.24	$598.37	$774.36
United Facility/Professional Professional Modifier Low / Median / High Price $328.08 / $470.37 / $625.92	Professional		$328.08	$470.37	$625.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.90 / $226.90 / $401.80	Professional		$226.90	$226.90	$401.80