Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.51 / $2,159.13 / $7,142.60	Facility		$1,296.51	$2,159.13	$7,142.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.89 / $1,141.93 / $2,105.90	Professional		$883.89	$1,141.93	$2,105.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,886.58 / $3,254.02 / $5,667.77	Facility		$1,886.58	$3,254.02	$5,667.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.19 / $1,831.21 / $9,042.90	Professional		$1,026.19	$1,831.21	$9,042.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.86 / $1,862.03 / $3,202.56	Professional		$1,129.86	$1,862.03	$3,202.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $939.61 / $1,588.80 / $2,919.08	Facility		$939.61	$1,588.80	$2,919.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $878.36 / $1,439.85 / $2,706.06	Professional		$878.36	$1,439.85	$2,706.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.48 / $908.28 / $2,529.15	Professional		$145.48	$908.28	$2,529.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,526.11 / $2,013.48 / $2,196.92	Facility		$1,526.11	$2,013.48	$2,196.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.33 / $1,423.56 / $2,910.96	Facility		$1,341.33	$1,423.56	$2,910.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,453.05 / $2,258.16 / $2,825.62	Professional		$1,453.05	$2,258.16	$2,825.62
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 $1,035.74 / $1,090.25 / $2,203.86	Professional		$1,035.74	$1,090.25	$2,203.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.20 / $1,760.41 / $2,905.20	Professional		$1,138.20	$1,760.41	$2,905.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $852.77 / $1,033.29 / $1,198.41	Professional		$852.77	$1,033.29	$1,198.41