Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.18 / $2,254.82 / $7,439.55	Facility		$1,269.18	$2,254.82	$7,439.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.11 / $1,269.18 / $1,998.28	Professional		$810.11	$1,269.18	$1,998.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.70 / $2,215.66 / $6,413.40	Facility		$1,417.70	$2,215.66	$6,413.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $1,417.70 / $6,750.95	Professional		$597.91	$1,417.70	$6,750.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,974.65 / $2,870.08 / $3,498.29	Facility		$1,974.65	$2,870.08	$3,498.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.19 / $1,551.64 / $1,939.55	Professional		$837.19	$1,551.64	$1,939.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,332.69 / $1,687.74 / $3,854.91	Facility		$1,332.69	$1,687.74	$3,854.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,984.78 / $3,736.18	Professional		$1,350.19	$1,984.78	$3,736.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $961.33 / $1,302.53 / $1,432.78	Professional		$961.33	$1,302.53	$1,432.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $2,835.40	Facility		$1,350.19	$1,350.19	$2,835.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.19 / $2,025.29 / $3,713.02	Facility		$1,350.19	$2,025.29	$3,713.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.17 / $1,620.23 / $1,917.27	Professional		$1,215.17	$1,620.23	$1,917.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,417.70 / $2,215.66 / $3,713.02	Facility		$1,417.70	$2,215.66	$3,713.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,222.27 / $2,374.79 / $3,306.72	Professional		$1,222.27	$2,374.79	$3,306.72
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $567.08 / $1,512.21	Professional		$567.08	$567.08	$1,512.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $607.59 / $607.59 / $699.40	Professional		$607.59	$607.59	$699.40