Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.65 / $984.39 / $1,366.68	Facility		$433.65	$984.39	$1,366.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.39 / $433.65 / $1,027.75	Professional		$324.39	$433.65	$1,027.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $584.30 / $1,439.32 / $3,115.48	Facility		$584.30	$1,439.32	$3,115.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $458.08 / $573.87 / $4,550.09	Professional		$458.08	$573.87	$4,550.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $483.85	Facility		$483.85	$483.85	$483.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $353.21 / $483.85	Professional		$353.21	$353.21	$483.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $367.64 / $667.29 / $1,673.43	Facility		$367.64	$667.29	$1,673.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.04 / $667.29 / $1,240.42	Professional		$368.04	$667.29	$1,240.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $460.40 / $511.56 / $562.71	Professional		$460.40	$511.56	$562.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.70 / $648.79 / $667.29	Facility		$529.70	$648.79	$667.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $600.55 / $667.29 / $667.29	Professional		$600.55	$667.29	$667.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.30 / $749.40 / $1,303.30	Facility		$584.30	$749.40	$1,303.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $635.14 / $651.65 / $651.65	Facility		$635.14	$651.65	$651.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $530.11 / $567.20 / $734.02	Professional		$530.11	$567.20	$734.02
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $291.52 / $388.70 / $556.19	Professional		$291.52	$388.70	$556.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $94.71 / $355.43	Professional		$94.71	$94.71	$355.43