Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.60 / $1,045.60 / $1,045.60	Facility		$1,045.60	$1,045.60	$1,045.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.33 / $1,045.60 / $1,129.63	Professional		$257.33	$1,045.60	$1,129.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $422.58 / $995.80 / $995.80	Facility		$422.58	$995.80	$995.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $313.52 / $924.19 / $3,657.26	Professional		$313.52	$924.19	$3,657.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.00 / $326.00 / $326.00	Professional		$326.00	$326.00	$326.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.60 / $729.60 / $729.60	Professional		$729.60	$729.60	$729.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $249.24 / $328.76 / $415.40	Facility		$249.24	$328.76	$415.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.33 / $283.33 / $1,261.15	Facility		$283.33	$283.33	$1,261.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.29 / $731.39 / $2,185.16	Professional		$331.29	$731.39	$2,185.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $306.75 / $469.20 / $1,708.82	Professional		$306.75	$469.20	$1,708.82
United Facility/Professional Professional Modifier Low / Median / High Price $447.10 / $1,105.20 / $2,250.46	Professional		$447.10	$1,105.20	$2,250.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $533.80 / $533.80 / $533.80	Professional		$533.80	$533.80	$533.80