Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.81 / $1,374.07 / $1,755.09	Facility		$820.81	$1,374.07	$1,755.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $652.32 / $1,268.06	Professional		$454.92	$652.32	$1,268.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,772.33 / $3,077.10 / $5,667.77	Facility		$1,772.33	$3,077.10	$5,667.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $732.78 / $1,407.97 / $6,043.35	Professional		$732.78	$1,407.97	$6,043.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.37 / $1,056.83 / $2,151.85	Professional		$519.37	$1,056.83	$2,151.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $816.28 / $1,545.56	Facility		$383.07	$816.28	$1,545.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.09 / $774.12 / $1,464.00	Professional		$410.09	$774.12	$1,464.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $620.23 / $1,603.15	Professional		$146.58	$620.23	$1,603.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $685.79 / $1,155.55 / $1,407.67	Facility		$685.79	$1,155.55	$1,407.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.30 / $960.16 / $2,910.96	Facility		$845.30	$960.16	$2,910.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.16 / $1,475.82 / $1,905.82	Professional		$960.16	$1,475.82	$1,905.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,921.33 / $2,962.94 / $5,667.77	Facility		$1,921.33	$2,962.94	$5,667.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $862.09 / $1,271.83 / $1,792.76	Professional		$862.09	$1,271.83	$1,792.76
United Facility/Professional Professional Modifier Low / Median / High Price $585.65 / $1,038.88 / $1,901.90	Professional		$585.65	$1,038.88	$1,901.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $587.47 / $709.35 / $812.40	Professional		$587.47	$709.35	$812.40