Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.44 / $1,408.40 / $1,470.44	Facility		$620.44	$1,408.40	$1,470.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $620.44 / $1,470.44	Professional		$580.66	$620.44	$1,470.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $836.01 / $2,025.45 / $5,050.38	Facility		$836.01	$2,025.45	$5,050.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $696.97 / $954.75 / $6,402.83	Professional		$696.97	$954.75	$6,402.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $604.34	Professional		$435.50	$435.50	$604.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $600.60 / $1,015.08 / $2,616.25	Facility		$600.60	$1,015.08	$2,616.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.26 / $1,022.68 / $2,025.72	Professional		$601.26	$1,022.68	$2,025.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $658.71 / $731.91 / $805.10	Professional		$658.71	$731.91	$805.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $757.85 / $932.37 / $1,165.73	Facility		$757.85	$932.37	$1,165.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $859.28 / $954.75 / $1,193.44	Professional		$859.28	$954.75	$1,193.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.01 / $1,072.23 / $1,864.74	Facility		$836.01	$1,072.23	$1,864.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $908.74 / $932.37 / $932.37	Facility		$908.74	$932.37	$932.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.46 / $811.54 / $1,050.23	Professional		$758.46	$811.54	$1,050.23
United Facility/Professional Facility Modifier Low / Median / High Price $366.99 / $629.41 / $733.98	Facility		$366.99	$629.41	$733.98
United Facility/Professional Professional Modifier Low / Median / High Price $476.31 / $714.47 / $908.74	Professional		$476.31	$714.47	$908.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $285.70 / $581.25	Professional		$285.70	$285.70	$581.25