Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.38 / $1,353.78 / $1,413.42	Facility		$596.38	$1,353.78	$1,413.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.06 / $596.38 / $1,413.42	Professional		$507.06	$596.38	$1,413.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $688.28 / $688.28 / $688.28	Professional		$688.28	$688.28	$688.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $803.58 / $1,752.78 / $4,017.59	Facility		$803.58	$1,752.78	$4,017.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $798.72 / $5,540.85	Professional		$598.54	$798.72	$5,540.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $663.31	Facility		$663.31	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $663.31	Professional		$484.22	$484.22	$663.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.66 / $912.99 / $2,176.87	Facility		$478.66	$912.99	$2,176.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.18 / $879.28 / $1,613.62	Professional		$479.18	$879.28	$1,613.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $633.17 / $703.53 / $773.88	Professional		$633.17	$703.53	$773.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $728.48 / $896.20 / $1,014.11	Facility		$728.48	$896.20	$1,014.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $729.05 / $917.71 / $1,014.11	Professional		$729.05	$917.71	$1,014.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.58 / $1,030.63 / $1,792.40	Facility		$803.58	$1,030.63	$1,792.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $873.49 / $896.20 / $896.20	Facility		$873.49	$896.20	$896.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $729.05 / $780.05 / $1,009.48	Professional		$729.05	$780.05	$1,009.48
United Facility/Professional Professional Modifier Low / Median / High Price $379.44 / $571.70 / $723.93	Professional		$379.44	$571.70	$723.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $218.57 / $462.16	Professional		$218.57	$218.57	$462.16