Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.65 / $2,033.93 / $2,563.77	Facility		$1,493.65	$2,033.93	$2,563.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.89 / $1,168.90 / $2,431.32	Professional		$885.89	$1,168.90	$2,431.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,165.60 / $5,237.81 / $5,237.81	Facility		$2,165.60	$5,237.81	$5,237.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.25 / $2,451.23 / $9,710.25	Professional		$1,409.25	$2,451.23	$9,710.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.65 / $1,675.34 / $3,462.66	Professional		$991.65	$1,675.34	$3,462.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $872.34 / $1,555.65 / $2,318.51	Facility		$872.34	$1,555.65	$2,318.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $872.34 / $1,526.58 / $2,346.53	Professional		$872.34	$1,526.58	$2,346.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.85 / $1,842.60 / $3,280.61	Professional		$331.85	$1,842.60	$3,280.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,362.41 / $1,901.02 / $2,327.58	Facility		$1,362.41	$1,901.02	$2,327.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,606.71 / $2,603.07 / $3,256.18	Professional		$1,606.71	$2,603.07	$3,256.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,604.53 / $2,257.44 / $2,865.36	Professional		$1,604.53	$2,257.44	$2,865.36
United Facility/Professional Professional Modifier Low / Median / High Price $946.05 / $1,466.85 / $2,671.96	Professional		$946.05	$1,466.85	$2,671.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $955.20 / $1,208.99 / $1,208.99	Professional		$955.20	$1,208.99	$1,208.99