Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.44 / $1,744.59 / $2,215.91	Facility		$983.44	$1,744.59	$2,215.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.40 / $982.11 / $2,094.52	Professional		$716.40	$982.11	$2,094.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.64 / $4,512.68 / $4,512.68	Facility		$1,640.64	$4,512.68	$4,512.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.64 / $2,043.18 / $8,308.12	Professional		$1,200.64	$2,043.18	$8,308.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.18 / $1,388.05 / $2,953.50	Professional		$840.18	$1,388.05	$2,953.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $751.75 / $1,334.70 / $1,989.66	Facility		$751.75	$1,334.70	$1,989.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.75 / $1,320.77 / $2,022.50	Professional		$751.75	$1,320.77	$2,022.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.08 / $1,591.50 / $2,824.02	Professional		$286.08	$1,591.50	$2,824.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,155.91 / $1,637.90 / $1,995.26	Facility		$1,155.91	$1,637.90	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,377.91 / $2,005.00 / $2,791.28	Professional		$1,377.91	$2,005.00	$2,791.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,378.61 / $1,867.48 / $2,312.42	Professional		$1,378.61	$1,867.48	$2,312.42
United Facility/Professional Professional Modifier Low / Median / High Price $778.22 / $1,201.75 / $2,601.44	Professional		$778.22	$1,201.75	$2,601.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $822.96 / $1,040.93 / $1,040.93	Professional		$822.96	$1,040.93	$1,040.93