Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.54 / $1,612.93 / $1,683.98	Facility		$710.54	$1,612.93	$1,683.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.99 / $710.54 / $1,683.98	Professional		$664.99	$710.54	$1,683.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $957.41 / $2,098.21 / $5,694.72	Facility		$957.41	$2,098.21	$5,694.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $798.17 / $1,020.50 / $7,260.09	Professional		$798.17	$1,020.50	$7,260.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $719.79	Facility		$719.79	$719.79	$719.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $525.45 / $719.79	Professional		$525.45	$525.45	$719.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $687.96 / $1,162.72 / $2,996.18	Facility		$687.96	$1,162.72	$2,996.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.71 / $1,171.19 / $2,320.31	Professional		$688.71	$1,171.19	$2,320.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $754.38 / $838.20 / $922.02	Professional		$754.38	$838.20	$922.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $867.91 / $1,067.76 / $1,457.85	Facility		$867.91	$1,067.76	$1,457.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,093.39 / $1,093.39 / $1,457.85	Professional		$1,093.39	$1,093.39	$1,457.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $957.41 / $1,227.92 / $2,135.52	Facility		$957.41	$1,227.92	$2,135.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,040.70 / $1,067.76 / $1,067.76	Facility		$1,040.70	$1,067.76	$1,067.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $868.60 / $929.38 / $1,202.73	Professional		$868.60	$929.38	$1,202.73
United Facility/Professional Professional Modifier Low / Median / High Price $545.48 / $782.56 / $1,040.70	Professional		$545.48	$782.56	$1,040.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $428.30 / $428.30 / $667.98	Professional		$428.30	$428.30	$667.98