Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,446.80 / $6,446.80 / $6,446.80	Facility		$6,446.80	$6,446.80	$6,446.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,963.75 / $2,495.77 / $2,616.01	Professional		$1,963.75	$2,495.77	$2,616.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,517.96 / $4,232.97 / $7,690.04	Facility		$2,517.96	$4,232.97	$7,690.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.78 / $3,036.66 / $9,459.15	Professional		$1,394.78	$3,036.66	$9,459.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.35 / $3,194.31 / $4,991.84	Facility		$1,620.35	$3,194.31	$4,991.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $981.77 / $2,006.26 / $3,600.35	Facility		$981.77	$2,006.26	$3,600.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.77 / $2,180.33 / $2,992.95	Professional		$981.77	$2,180.33	$2,992.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $654.04 / $654.04 / $654.04	Professional		$654.04	$654.04	$654.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $817.18 / $985.55 / $1,075.23	Facility		$817.18	$985.55	$1,075.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,509.88 / $3,919.70 / $7,645.03	Facility		$2,509.88	$3,919.70	$7,645.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,394.78 / $2,137.80 / $2,906.58	Professional		$1,394.78	$2,137.80	$2,906.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,625.88 / $4,731.18 / $7,435.43	Facility		$3,625.88	$4,731.18	$7,435.43
United Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $1,291.81 / $2,829.93	Professional		$122.82	$1,291.81	$2,829.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,236.27 / $1,236.27 / $1,236.27	Professional		$1,236.27	$1,236.27	$1,236.27