Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.68 / $915.68 / $915.68	Facility		$915.68	$915.68	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $915.68 / $915.68	Professional		$872.08	$915.68	$915.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $318.02 / $487.18 / $1,037.39	Facility		$318.02	$487.18	$1,037.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $902.02 / $1,573.97	Professional		$368.06	$902.02	$1,573.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $3,018.88	Facility		$872.08	$872.08	$3,018.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,069.54	Professional		$872.08	$872.08	$1,069.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $528.38 / $1,224.35 / $1,865.77	Facility		$528.38	$1,224.35	$1,865.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.38 / $1,223.08 / $1,865.77	Professional		$528.38	$1,223.08	$1,865.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $872.08	Professional		$30.00	$75.00	$872.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $79,999.20	Facility		$872.08	$872.08	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.66 / $374.89 / $761.22	Facility		$270.66	$374.89	$761.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $350.58 / $350.58 / $385.64	Facility		$350.58	$350.58	$385.64
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,046.50	Professional		$872.08	$872.08	$1,046.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08