Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.79 / $1,402.38 / $1,464.16	Facility		$617.79	$1,402.38	$1,464.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.56 / $617.79 / $1,464.16	Professional		$479.56	$617.79	$1,464.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $832.43 / $1,810.34 / $3,998.55	Facility		$832.43	$1,810.34	$3,998.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $646.47 / $1,037.22 / $5,986.05	Professional		$646.47	$1,037.22	$5,986.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $510.69	Facility		$510.69	$510.69	$510.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $510.69	Professional		$434.09	$434.09	$510.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $542.40 / $969.67 / $2,605.04	Facility		$542.40	$969.67	$2,605.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $573.19 / $950.66 / $1,734.44	Professional		$573.19	$950.66	$1,734.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $950.66	Professional		$60.00	$60.00	$950.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $855.59 / $936.64 / $969.67	Facility		$855.59	$936.64	$969.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $755.22 / $755.22 / $755.22	Professional		$755.22	$755.22	$755.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.43 / $1,067.64 / $1,856.76	Facility		$832.43	$1,067.64	$1,856.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $904.85 / $928.38 / $928.38	Facility		$904.85	$928.38	$928.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $693.98 / $1,045.73 / $1,045.73	Professional		$693.98	$1,045.73	$1,045.73
United Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $614.34 / $777.91	Professional		$407.74	$614.34	$777.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $490.87 / $808.06 / $808.06	Professional		$490.87	$808.06	$808.06