Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,975.82 / $4,975.82 / $4,975.82	Facility		$4,975.82	$4,975.82	$4,975.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,832.07 / $1,832.07 / $2,034.51	Professional		$1,832.07	$1,832.07	$2,034.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,632.69 / $4,226.55 / $7,690.04	Facility		$2,632.69	$4,226.55	$7,690.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.74 / $2,498.79 / $8,640.00	Professional		$1,200.74	$2,498.79	$8,640.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.35 / $3,621.52 / $4,991.84	Facility		$1,620.35	$3,621.52	$4,991.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $847.54 / $1,732.33 / $3,600.35	Facility		$847.54	$1,732.33	$3,600.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.54 / $2,004.91 / $2,744.70	Professional		$847.54	$2,004.91	$2,744.70
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 / $936.40	Facility		$713.02	$858.29	$936.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,606.87 / $3,919.70 / $7,645.03	Facility		$2,606.87	$3,919.70	$7,645.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,299.28 / $1,854.23 / $2,497.89	Professional		$1,299.28	$1,854.23	$2,497.89
United Facility/Professional Facility Modifier Low / Median / High Price $647.61 / $647.61 / $647.61	Facility		$647.61	$647.61	$647.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.56 / $1,204.29 / $2,365.92	Professional		$1,063.56	$1,204.29	$2,365.92
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