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 $85.03 / $1,045.60 / $1,129.63	Professional		$85.03	$1,045.60	$1,129.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $995.80 / $995.80	Facility		$257.64	$995.80	$995.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $924.19 / $3,657.26	Professional		$99.07	$924.19	$3,657.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $167.73 / $167.73	Professional		$167.73	$167.73	$167.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.51 / $375.51 / $375.51	Professional		$375.51	$375.51	$375.51
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 $70.38 / $84.34 / $213.73	Facility		$70.38	$84.34	$213.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.75 / $172.75 / $1,261.15	Facility		$172.75	$172.75	$1,261.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $648.55 / $2,185.16	Professional		$198.75	$648.55	$2,185.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $251.41 / $1,708.82	Professional		$78.66	$251.41	$1,708.82
United Facility/Professional Professional Modifier Low / Median / High Price $280.27 / $1,105.20 / $2,250.46	Professional		$280.27	$1,105.20	$2,250.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.49 / $392.49 / $392.49	Professional		$392.49	$392.49	$392.49