Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.28 / $3,398.66 / $14,464.32	Facility		$584.28	$3,398.66	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.69 / $1,591.10 / $4,049.77	Professional		$341.69	$1,591.10	$4,049.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,331.17 / $3,331.17 / $8,980.00	Facility		$3,331.17	$3,331.17	$8,980.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $551.47 / $3,294.10 / $13,089.20	Professional		$551.47	$3,294.10	$13,089.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $1,048.01 / $5,062.70	Professional		$412.43	$1,048.01	$5,062.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $440.46 / $1,647.03 / $4,903.76	Facility		$440.46	$1,647.03	$4,903.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.16 / $1,647.03 / $4,919.47	Professional		$461.16	$1,647.03	$4,919.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $486.17 / $2,894.73 / $4,883.44	Professional		$486.17	$2,894.73	$4,883.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $650.07 / $3,521.60 / $3,717.72	Facility		$650.07	$3,521.60	$3,717.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,443.58 / $2,443.58 / $2,463.87	Facility		$2,443.58	$2,443.58	$2,463.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.77 / $2,339.31 / $4,850.26	Professional		$583.77	$2,339.31	$4,850.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $592.66 / $1,218.88 / $4,151.95	Professional		$592.66	$1,218.88	$4,151.95
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.13 / $3,074.57 / $5,313.09	Professional		$681.13	$3,074.57	$5,313.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $339.62 / $339.62 / $2,066.91	Professional		$339.62	$339.62	$2,066.91