Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.91 / $1,642.41 / $2,259.29	Facility		$1,286.91	$1,642.41	$2,259.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.79 / $1,199.66 / $1,318.00	Professional		$774.79	$1,199.66	$1,318.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,547.07 / $2,844.50 / $3,943.88	Facility		$1,547.07	$2,844.50	$3,943.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.36 / $2,075.09 / $7,755.83	Professional		$1,253.36	$2,075.09	$7,755.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.66 / $1,741.77 / $2,933.67	Professional		$992.66	$1,741.77	$2,933.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $810.48 / $2,001.33 / $2,968.97	Facility		$810.48	$2,001.33	$2,968.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,046.42 / $2,123.91 / $2,793.82	Professional		$1,046.42	$2,123.91	$2,793.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $787.88 / $1,887.22	Professional		$119.93	$787.88	$1,887.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,193.90 / $1,687.42 / $1,796.27	Facility		$1,193.90	$1,687.42	$1,796.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.22 / $1,225.22 / $1,272.02	Facility		$1,225.22	$1,225.22	$1,272.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,409.67 / $2,081.82 / $2,552.31	Professional		$1,409.67	$2,081.82	$2,552.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,889.92 / $2,590.05 / $4,954.47	Facility		$1,889.92	$2,590.05	$4,954.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,297.30 / $1,819.71 / $2,302.98	Professional		$1,297.30	$1,819.71	$2,302.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,067.04 / $1,698.84 / $2,765.89	Professional		$1,067.04	$1,698.84	$2,765.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $993.01 / $993.01 / $993.01	Professional		$993.01	$993.01	$993.01