Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.77 / $1,579.83 / $1,956.69	Professional		$1,373.77	$1,579.83	$1,956.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,274.24 / $1,832.08 / $4,214.47	Facility		$1,274.24	$1,832.08	$4,214.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.50 / $2,604.06 / $8,112.23	Professional		$1,197.50	$2,604.06	$8,112.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.60 / $1,511.72 / $2,276.14	Facility		$735.60	$1,511.72	$2,276.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $554.12 / $1,633.28 / $2,606.48	Facility		$554.12	$1,633.28	$2,606.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.44 / $1,882.63 / $2,606.48	Professional		$844.44	$1,882.63	$2,606.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $569.60 / $626.55 / $626.55	Professional		$569.60	$626.55	$626.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $713.02 / $858.29 / $903.46	Facility		$713.02	$858.29	$903.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,197.50 / $1,667.24 / $3,191.07	Facility		$1,197.50	$1,667.24	$3,191.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,197.50 / $1,836.10 / $2,492.50	Professional		$1,197.50	$1,836.10	$2,492.50
United Facility/Professional Facility Modifier Low / Median / High Price $642.95 / $642.95 / $642.95	Facility		$642.95	$642.95	$642.95
United Facility/Professional Professional Modifier Low / Median / High Price $638.89 / $1,116.30 / $2,491.36	Professional		$638.89	$1,116.30	$2,491.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,076.61 / $1,076.61 / $1,076.61	Professional		$1,076.61	$1,076.61	$1,076.61