Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.85 / $1,291.29 / $1,348.17	Facility		$568.85	$1,291.29	$1,348.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.39 / $568.85 / $1,348.17	Professional		$532.39	$568.85	$1,348.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $766.49 / $2,105.06 / $4,719.35	Facility		$766.49	$2,105.06	$4,719.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $639.01 / $766.49 / $6,654.78	Professional		$639.01	$766.49	$6,654.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $612.94	Facility		$612.94	$612.94	$612.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $447.45 / $612.94	Professional		$447.45	$447.45	$612.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $550.54 / $930.49 / $2,398.71	Facility		$550.54	$930.49	$2,398.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.15 / $937.46 / $1,857.73	Professional		$551.15	$937.46	$1,857.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $603.94 / $671.05 / $738.15	Professional		$603.94	$671.05	$738.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.84 / $854.84 / $1,133.84	Facility		$694.84	$854.84	$1,133.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $875.36 / $1,133.84	Professional		$787.82	$875.36	$1,133.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.49 / $983.07 / $1,709.68	Facility		$766.49	$983.07	$1,709.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $833.18 / $854.84 / $854.84	Facility		$833.18	$854.84	$854.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $695.39 / $744.06 / $962.90	Professional		$695.39	$744.06	$962.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $436.70 / $577.08	Facility		$6.97	$436.70	$577.08
United Facility/Professional Professional Modifier Low / Median / High Price $436.70 / $657.83 / $833.18	Professional		$436.70	$657.83	$833.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $366.93 / $366.93 / $532.32	Professional		$366.93	$366.93	$532.32