Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.21 / $3,054.79 / $3,918.00	Facility		$1,223.21	$3,054.79	$3,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.11 / $1,157.01 / $1,953.85	Professional		$809.11	$1,157.01	$1,953.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,784.45 / $3,254.02 / $5,667.77	Facility		$1,784.45	$3,254.02	$5,667.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $943.70 / $1,698.57 / $8,528.54	Professional		$943.70	$1,698.57	$8,528.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.18 / $1,745.00 / $3,021.25	Professional		$1,061.18	$1,745.00	$3,021.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.02 / $1,488.96 / $2,735.65	Facility		$912.02	$1,488.96	$2,735.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.76 / $1,349.37 / $2,542.69	Professional		$823.76	$1,349.37	$2,542.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $841.00 / $2,354.08	Professional		$145.15	$841.00	$2,354.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.45 / $1,862.25 / $1,968.46	Facility		$1,412.45	$1,862.25	$1,968.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,266.58 / $1,342.67 / $2,910.96	Facility		$1,266.58	$1,342.67	$2,910.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,371.44 / $2,130.21 / $2,665.06	Professional		$1,371.44	$2,130.21	$2,665.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,162.01 / $2,962.94 / $5,667.77	Facility		$2,162.01	$2,962.94	$5,667.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $976.89 / $1,028.30 / $2,078.64	Professional		$976.89	$1,028.30	$2,078.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.58 / $1,631.35 / $2,698.01	Professional		$1,070.58	$1,631.35	$2,698.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $804.74 / $975.16 / $1,131.30	Professional		$804.74	$975.16	$1,131.30