Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.79 / $3,397.71 / $3,547.39	Facility		$1,496.79	$3,397.71	$3,547.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.74 / $1,496.79 / $2,434.92	Professional		$1,408.74	$1,496.79	$2,434.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $717.33 / $4,027.33 / $4,027.33	Facility		$717.33	$4,027.33	$4,027.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $646.21 / $855.34 / $4,361.83	Professional		$646.21	$855.34	$4,361.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.77 / $482.77 / $482.77	Facility		$482.77	$482.77	$482.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $482.77	Professional		$410.35	$410.35	$482.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $614.11 / $927.31 / $1,561.02	Facility		$614.11	$927.31	$1,561.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $614.11 / $960.22 / $1,657.90	Professional		$614.11	$960.22	$1,657.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $843.92 / $843.92	Professional		$60.00	$843.92	$843.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $824.14 / $843.92 / $928.31	Facility		$824.14	$843.92	$928.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.52 / $738.97 / $1,366.42	Facility		$700.52	$738.97	$1,366.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.52 / $763.10 / $947.76	Professional		$700.52	$763.10	$947.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.05 / $928.31 / $928.31	Professional		$616.05	$928.31	$928.31
United Facility/Professional Professional Modifier Low / Median / High Price $385.44 / $580.74 / $735.38	Professional		$385.44	$580.74	$735.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $717.33 / $717.33 / $1,467.44	Professional		$717.33	$717.33	$1,467.44