Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.23 / $1,112.23 / $1,112.23	Facility		$1,112.23	$1,112.23	$1,112.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.26 / $817.48 / $1,112.23	Professional		$649.26	$817.48	$1,112.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,371.87 / $3,814.81 / $3,814.81	Facility		$1,371.87	$3,814.81	$3,814.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $828.88 / $1,729.50 / $7,218.08	Professional		$828.88	$1,729.50	$7,218.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.93 / $1,285.08 / $2,547.15	Professional		$760.93	$1,285.08	$2,547.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $703.39 / $1,247.95 / $1,807.93	Facility		$703.39	$1,247.95	$1,807.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $656.89 / $1,155.36 / $1,866.89	Professional		$656.89	$1,155.36	$1,866.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,155.97 / $1,651.39 / $1,681.03	Facility		$1,155.97	$1,651.39	$1,681.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.39 / $1,879.99 / $2,351.69	Professional		$1,158.39	$1,879.99	$2,351.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,155.92 / $1,626.30 / $2,018.49	Professional		$1,155.92	$1,626.30	$2,018.49
United Facility/Professional Professional Modifier Low / Median / High Price $473.68 / $761.26 / $1,260.01	Professional		$473.68	$761.26	$1,260.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $828.88 / $828.88 / $828.88	Professional		$828.88	$828.88	$828.88