Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.83 / $1,115.83 / $3,629.81	Facility		$1,115.83	$1,115.83	$3,629.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.58 / $924.12 / $1,185.27	Professional		$753.58	$924.12	$1,185.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,180.69 / $1,668.14 / $4,040.38	Facility		$1,180.69	$1,668.14	$4,040.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $974.60 / $1,715.64 / $7,677.30	Professional		$974.60	$1,715.64	$7,677.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.78 / $1,826.63 / $2,873.63	Professional		$980.78	$1,826.63	$2,873.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $624.67 / $1,160.11 / $2,031.46	Facility		$624.67	$1,160.11	$2,031.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.07 / $1,094.52 / $1,982.48	Professional		$698.07	$1,094.52	$1,982.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $751.04 / $917.93 / $1,126.56	Professional		$751.04	$917.93	$1,126.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $627.82 / $792.77 / $834.49	Facility		$627.82	$792.77	$834.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,089.47 / $1,089.47 / $1,219.73	Facility		$1,089.47	$1,089.47	$1,219.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.73 / $1,852.79 / $2,421.05	Professional		$1,219.73	$1,852.79	$2,421.05
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 $1,179.49 / $1,646.79 / $2,277.44	Professional		$1,179.49	$1,646.79	$2,277.44
United Facility/Professional Professional Modifier Low / Median / High Price $919.22 / $1,531.10 / $2,512.90	Professional		$919.22	$1,531.10	$2,512.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $834.49 / $964.50 / $1,018.11	Professional		$834.49	$964.50	$1,018.11