Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,731.65 / $1,731.65 / $1,731.65	Facility		$1,731.65	$1,731.65	$1,731.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.76 / $1,666.99 / $2,774.74	Professional		$533.76	$1,666.99	$2,774.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,668.46 / $3,586.95 / $6,329.41	Facility		$2,668.46	$3,586.95	$6,329.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $344.19 / $603.00 / $2,468.80	Professional		$344.19	$603.00	$2,468.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.66 / $4,192.81 / $6,451.69	Facility		$1,254.66	$4,192.81	$6,451.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.93 / $472.03 / $809.55	Professional		$271.93	$472.03	$809.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $127.97 / $477.40 / $1,485.95	Facility		$127.97	$477.40	$1,485.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $397.17 / $686.79	Professional		$113.77	$397.17	$686.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $56.61 / $80.86	Professional		$32.34	$56.61	$80.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $60.18 / $447.66	Facility		$48.75	$60.18	$447.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $708.57 / $708.57 / $708.57	Professional		$708.57	$708.57	$708.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.49 / $337.49 / $342.75	Facility		$337.49	$337.49	$342.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.73 / $580.50 / $714.00	Professional		$389.73	$580.50	$714.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,187.26 / $4,425.20 / $8,630.96	Facility		$2,187.26	$4,425.20	$8,630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $344.19 / $513.75 / $714.61	Professional		$344.19	$513.75	$714.61
United Facility/Professional Professional Modifier Low / Median / High Price $305.14 / $1,690.80 / $4,389.62	Professional		$305.14	$1,690.80	$4,389.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $67.62 / $67.62	Professional		$67.62	$67.62	$67.62