Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.83 / $1,291.24 / $5,583.60	Facility		$568.83	$1,291.24	$5,583.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.58 / $568.83 / $2,356.86	Professional		$475.58	$568.83	$2,356.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $766.46 / $3,903.56 / $3,903.56	Facility		$766.46	$3,903.56	$3,903.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $532.14 / $962.85 / $5,489.40	Professional		$532.14	$962.85	$5,489.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.06 / $666.06 / $666.06	Facility		$666.06	$666.06	$666.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $566.15 / $666.06	Professional		$566.15	$566.15	$666.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $424.76 / $831.55 / $1,492.44	Facility		$424.76	$831.55	$1,492.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.89 / $863.09 / $1,590.45	Professional		$471.89	$863.09	$1,590.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $625.82 / $695.36 / $764.89	Professional		$625.82	$695.36	$764.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $787.79 / $875.32 / $999.31	Facility		$787.79	$875.32	$999.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.46 / $766.46 / $1,417.26	Facility		$766.46	$766.46	$1,417.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $638.98 / $962.85 / $962.85	Professional		$638.98	$962.85	$962.85
United Facility/Professional Professional Modifier Low / Median / High Price $373.91 / $563.24 / $713.37	Professional		$373.91	$563.24	$713.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $453.66 / $744.02 / $744.02	Professional		$453.66	$744.02	$744.02