Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.30 / $1,558.63 / $2,627.58	Facility		$779.30	$1,558.63	$2,627.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.20 / $805.55 / $1,740.60	Professional		$645.20	$805.55	$1,740.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,374.41 / $2,110.12 / $5,563.56	Facility		$1,374.41	$2,110.12	$5,563.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.33 / $1,825.57 / $6,676.58	Professional		$1,035.33	$1,825.57	$6,676.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.18 / $1,841.24 / $3,111.98	Facility		$766.18	$1,841.24	$3,111.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.59 / $1,535.83 / $2,474.69	Professional		$954.59	$1,535.83	$2,474.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $722.30 / $1,446.80 / $2,463.75	Facility		$722.30	$1,446.80	$2,463.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.12 / $1,507.69 / $2,089.31	Professional		$733.12	$1,507.69	$2,089.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.73 / $744.55 / $1,685.92	Professional		$132.73	$744.55	$1,685.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,011.15 / $1,388.56 / $1,573.16	Facility		$1,011.15	$1,388.56	$1,573.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $404.27 / $404.27 / $449.19	Professional		$404.27	$404.27	$449.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,015.17 / $1,015.17 / $1,073.04	Facility		$1,015.17	$1,015.17	$1,073.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,188.19 / $1,789.88 / $2,129.87	Professional		$1,188.19	$1,789.88	$2,129.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,368.96 / $1,982.72 / $3,863.92	Facility		$1,368.96	$1,982.72	$3,863.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,035.33 / $1,595.59 / $2,108.96	Professional		$1,035.33	$1,595.59	$2,108.96
United Facility/Professional Professional Modifier Low / Median / High Price $847.56 / $965.40 / $2,003.52	Professional		$847.56	$965.40	$2,003.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $888.71 / $888.71 / $888.71	Professional		$888.71	$888.71	$888.71