Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.33 / $1,188.33 / $1,188.33	Facility		$1,188.33	$1,188.33	$1,188.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.93 / $951.07 / $1,188.33	Professional		$777.93	$951.07	$1,188.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,184.89 / $1,668.34 / $4,371.92	Facility		$1,184.89	$1,668.34	$4,371.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $530.60 / $1,836.71 / $8,304.60	Professional		$530.60	$1,836.71	$8,304.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.88 / $1,967.10 / $3,089.35	Professional		$1,060.88	$1,967.10	$3,089.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $708.96 / $1,315.36 / $2,305.67	Facility		$708.96	$1,315.36	$2,305.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.26 / $1,242.19 / $2,250.09	Professional		$792.26	$1,242.19	$2,250.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $1,278.38	Professional		$45.00	$50.00	$1,278.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $712.96 / $899.60 / $946.95	Facility		$712.96	$899.60	$946.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,227.18 / $1,227.18 / $1,319.36	Facility		$1,227.18	$1,227.18	$1,319.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,319.36 / $1,998.12 / $2,618.80	Professional		$1,319.36	$1,998.12	$2,618.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,121.85 / $1,518.92 / $2,905.51	Facility		$1,121.85	$1,518.92	$2,905.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,251.56 / $1,750.23 / $2,452.42	Professional		$1,251.56	$1,750.23	$2,452.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.11 / $1,623.22 / $2,849.50	Professional		$1,020.11	$1,623.22	$2,849.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $401.16 / $946.95 / $1,094.32	Professional		$401.16	$946.95	$1,094.32