Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.10 / $1,623.28 / $1,694.79	Facility		$715.10	$1,623.28	$1,694.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.66 / $715.10 / $1,694.79	Professional		$412.66	$715.10	$1,694.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $963.56 / $2,095.51 / $4,434.30	Facility		$963.56	$2,095.51	$4,434.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $648.62 / $935.35 / $5,447.03	Professional		$648.62	$935.35	$5,447.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $695.50	Facility		$695.50	$695.50	$695.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $507.72 / $695.50	Professional		$507.72	$507.72	$695.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $519.15 / $1,045.39 / $2,362.50	Facility		$519.15	$1,045.39	$2,362.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.72 / $1,045.39 / $1,751.81	Professional		$519.72	$1,045.39	$1,751.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $759.21 / $843.57 / $927.92	Professional		$759.21	$843.57	$927.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $805.96 / $957.75 / $1,100.41	Facility		$805.96	$957.75	$1,100.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $825.31 / $1,100.41 / $1,100.41	Professional		$825.31	$1,100.41	$1,100.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $963.56 / $1,235.81 / $2,149.23	Facility		$963.56	$1,235.81	$2,149.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,047.38 / $1,074.61 / $1,074.61	Facility		$1,047.38	$1,074.61	$1,074.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $874.17 / $935.35 / $1,210.45	Professional		$874.17	$935.35	$1,210.45
United Facility/Professional Professional Modifier Low / Median / High Price $411.74 / $617.61 / $785.54	Professional		$411.74	$617.61	$785.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $427.77 / $427.77 / $935.35	Professional		$427.77	$427.77	$935.35