Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.78 / $2,050.32 / $7,091.37	Facility		$1,209.78	$2,050.32	$7,091.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.20 / $1,209.78 / $1,904.76	Professional		$772.20	$1,209.78	$1,904.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.35 / $2,111.96 / $6,113.25	Facility		$1,351.35	$2,111.96	$6,113.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $1,385.33 / $6,435.00	Professional		$514.79	$1,385.33	$6,435.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,338.48 / $2,635.13 / $3,346.20	Facility		$1,338.48	$2,635.13	$3,346.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $1,478.95 / $1,848.69	Professional		$798.00	$1,478.95	$1,848.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,270.07 / $1,608.75 / $3,673.77	Facility		$1,270.07	$1,608.75	$3,673.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,891.89 / $3,561.84	Professional		$1,287.00	$1,891.89	$3,561.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $916.34 / $1,241.57 / $1,365.72	Professional		$916.34	$1,241.57	$1,365.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $1,287.00 / $2,702.70	Facility		$1,287.00	$1,287.00	$2,702.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $1,930.50 / $3,539.25	Facility		$1,287.00	$1,930.50	$3,539.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.30 / $1,544.40 / $1,827.54	Professional		$1,158.30	$1,544.40	$1,827.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,351.35 / $2,111.96 / $3,539.25	Facility		$1,351.35	$2,111.96	$3,539.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,165.18 / $2,263.54 / $3,152.34	Professional		$1,165.18	$2,263.54	$3,152.34
United Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $540.54 / $1,441.44	Professional		$540.54	$540.54	$1,441.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $579.15 / $579.15 / $666.67	Professional		$579.15	$579.15	$666.67