Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,451.72 / $1,451.72 / $1,451.72	Facility		$1,451.72	$1,451.72	$1,451.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.21 / $1,064.91 / $1,451.72	Professional		$864.21	$1,064.91	$1,451.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,227.21 / $3,254.02 / $5,667.77	Facility		$2,227.21	$3,254.02	$5,667.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $839.66 / $2,060.57 / $8,544.08	Professional		$839.66	$2,060.57	$8,544.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.82 / $1,828.09 / $2,962.29	Professional		$1,066.82	$1,828.09	$2,962.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $893.73 / $1,457.57 / $2,707.56	Facility		$893.73	$1,457.57	$2,707.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.90 / $1,433.76 / $2,506.92	Professional		$864.90	$1,433.76	$2,506.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $337.52 / $491.18	Professional		$62.24	$337.52	$491.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,360.43 / $1,919.02 / $1,949.70	Facility		$1,360.43	$1,919.02	$1,949.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,329.87 / $1,329.87 / $1,399.77	Facility		$1,329.87	$1,329.87	$1,399.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,419.88 / $2,218.29 / $2,727.54	Professional		$1,419.88	$2,218.29	$2,727.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,237.28 / $2,962.94 / $5,667.77	Facility		$2,237.28	$2,962.94	$5,667.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,427.58 / $1,913.03 / $2,576.80	Professional		$1,427.58	$1,913.03	$2,576.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,212.42 / $2,945.06 / $5,324.62	Professional		$1,212.42	$2,945.06	$5,324.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,913.39 / $1,913.39 / $1,913.39	Professional		$1,913.39	$1,913.39	$1,913.39