Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.71 / $1,268.27 / $1,324.14	Facility		$558.71	$1,268.27	$1,324.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.70 / $558.71 / $1,324.14	Professional		$454.70	$558.71	$1,324.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $659.09 / $659.09 / $659.09	Professional		$659.09	$659.09	$659.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $752.83 / $1,637.24 / $4,189.30	Facility		$752.83	$1,637.24	$4,189.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $624.30 / $752.83 / $4,528.81	Professional		$624.30	$752.83	$4,528.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $501.15	Facility		$501.15	$501.15	$501.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $365.84 / $501.15	Professional		$365.84	$365.84	$501.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $504.59 / $859.76 / $2,295.92	Facility		$504.59	$859.76	$2,295.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.14 / $876.96 / $1,702.16	Professional		$505.14	$876.96	$1,702.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $593.18 / $659.09 / $724.99	Professional		$593.18	$659.09	$724.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $682.45 / $839.61 / $909.40	Facility		$682.45	$839.61	$909.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $859.76 / $909.40	Professional		$730.80	$859.76	$909.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.83 / $965.55 / $1,679.22	Facility		$752.83	$965.55	$1,679.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $818.33 / $839.61 / $839.61	Facility		$818.33	$839.61	$839.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $682.99 / $730.80 / $945.74	Professional		$682.99	$730.80	$945.74
United Facility/Professional Professional Modifier Low / Median / High Price $400.12 / $600.17 / $763.37	Professional		$400.12	$600.17	$763.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $484.17 / $484.17 / $510.00	Professional		$484.17	$484.17	$510.00