Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,451.77 / $6,451.77 / $6,451.77	Facility		$6,451.77	$6,451.77	$6,451.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.08 / $2,321.98 / $2,554.17	Professional		$2,176.08	$2,321.98	$2,554.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,632.69 / $4,232.97 / $9,522.00	Facility		$2,632.69	$4,232.97	$9,522.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.61 / $2,601.48 / $11,427.00	Professional		$1,087.61	$2,601.48	$11,427.00
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 $1,094.60 / $2,229.48 / $3,645.93	Facility		$1,094.60	$2,229.48	$3,645.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.60 / $2,422.92 / $3,379.41	Professional		$1,094.60	$2,422.92	$3,379.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $738.52 / $812.37 / $812.37	Professional		$738.52	$812.37	$812.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $945.91 / $1,112.83 / $1,171.40	Facility		$945.91	$1,112.83	$1,171.40
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 $1,543.08 / $2,365.30 / $3,211.96	Professional		$1,543.08	$2,365.30	$3,211.96
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 $1,278.64 / $1,442.05 / $3,056.36	Professional		$1,278.64	$1,442.05	$3,056.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,395.92 / $1,395.92 / $1,395.92	Professional		$1,395.92	$1,395.92	$1,395.92