Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.34 / $1,505.78 / $1,572.12	Facility		$663.34	$1,505.78	$1,572.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.80 / $663.34 / $1,572.12	Professional		$620.80	$663.34	$1,572.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $893.80 / $2,578.86 / $5,316.36	Facility		$893.80	$2,578.86	$5,316.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $745.14 / $893.80 / $8,152.70	Professional		$745.14	$893.80	$8,152.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $660.31	Facility		$660.31	$660.31	$660.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $482.03 / $660.31	Professional		$482.03	$482.03	$660.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $1,085.05 / $2,797.07	Facility		$642.00	$1,085.05	$2,797.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.71 / $1,093.56 / $2,165.56	Professional		$642.71	$1,093.56	$2,165.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $704.25 / $782.51 / $860.76	Professional		$704.25	$782.51	$860.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $810.24 / $996.82 / $1,360.99	Facility		$810.24	$996.82	$1,360.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $918.67 / $1,020.74 / $1,360.99	Professional		$918.67	$1,020.74	$1,360.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $893.80 / $1,146.33 / $1,993.64	Facility		$893.80	$1,146.33	$1,993.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $971.56 / $996.82 / $996.82	Facility		$971.56	$996.82	$996.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $810.89 / $867.63 / $1,122.81	Professional		$810.89	$867.63	$1,122.81
United Facility/Professional Professional Modifier Low / Median / High Price $509.24 / $767.27 / $971.56	Professional		$509.24	$767.27	$971.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.30 / $237.30 / $623.60	Professional		$237.30	$237.30	$623.60