Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.02 / $1,334.67 / $1,751.69	Facility		$986.02	$1,334.67	$1,751.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.84 / $767.28 / $1,661.20	Professional		$585.84	$767.28	$1,661.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.25 / $3,462.08 / $3,462.08	Facility		$1,254.25	$3,462.08	$3,462.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $926.66 / $1,615.79 / $6,368.33	Professional		$926.66	$1,615.79	$6,368.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.70 / $1,140.01 / $2,275.37	Professional		$665.70	$1,140.01	$2,275.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $594.89 / $1,059.48 / $1,586.09	Facility		$594.89	$1,059.48	$1,586.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.73 / $1,021.05 / $1,599.86	Professional		$585.73	$1,021.05	$1,599.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.14 / $1,162.55 / $2,069.18	Professional		$209.14	$1,162.55	$2,069.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $908.50 / $1,254.00 / $1,527.60	Facility		$908.50	$1,254.00	$1,527.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.04 / $1,708.40 / $2,137.04	Professional		$1,053.04	$1,708.40	$2,137.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,053.82 / $1,482.65 / $1,880.54	Professional		$1,053.82	$1,482.65	$1,880.54
United Facility/Professional Professional Modifier Low / Median / High Price $634.82 / $988.20 / $1,821.32	Professional		$634.82	$988.20	$1,821.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $631.36 / $802.37 / $802.37	Professional		$631.36	$802.37	$802.37