Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $2,729.03 / $6,600.65	Facility		$1,102.00	$2,729.03	$6,600.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $1,090.40 / $1,716.80	Professional		$730.80	$1,090.40	$1,716.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,257.83 / $1,880.77 / $4,060.00	Facility		$1,257.83	$1,880.77	$4,060.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $2,785.63 / $8,984.54	Professional		$1,044.00	$2,785.63	$8,984.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.40 / $2,465.81 / $2,995.27	Facility		$1,206.40	$2,465.81	$2,995.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.91 / $1,300.84 / $1,582.72	Professional		$919.91	$1,300.84	$1,582.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,078.15 / $1,197.94 / $2,036.50	Facility		$1,078.15	$1,197.94	$2,036.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.15 / $1,197.94 / $2,994.85	Professional		$1,078.15	$1,197.94	$2,994.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,197.94 / $1,257.83 / $1,796.91	Facility		$1,197.94	$1,257.83	$1,796.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $2,018.40 / $3,480.00	Facility		$1,160.00	$2,018.40	$3,480.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,450.00 / $1,751.60	Professional		$1,044.00	$1,450.00	$1,751.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,257.83 / $1,916.70 / $3,294.34	Facility		$1,257.83	$1,916.70	$3,294.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $2,341.08 / $2,785.63	Professional		$1,197.94	$2,341.08	$2,785.63
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $1,299.20	Professional		$487.20	$487.20	$1,299.20