Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.47 / $1,348.92 / $2,261.80	Facility		$859.47	$1,348.92	$2,261.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.19 / $859.47 / $2,173.40	Professional		$636.19	$859.47	$2,173.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,429.79 / $3,456.04 / $3,456.04	Facility		$1,429.79	$3,456.04	$3,456.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.65 / $1,602.75 / $7,032.99	Professional		$1,050.65	$1,602.75	$7,032.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.88 / $1,379.46 / $2,285.27	Professional		$813.88	$1,379.46	$2,285.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $735.01 / $1,375.18 / $1,955.95	Facility		$735.01	$1,375.18	$1,955.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.01 / $1,348.36 / $1,962.00	Professional		$735.01	$1,348.36	$1,962.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.73 / $1,203.00 / $2,189.11	Professional		$217.73	$1,203.00	$2,189.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,212.75 / $1,497.91 / $1,611.30	Facility		$1,212.75	$1,497.91	$1,611.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.08 / $1,709.87 / $2,080.89	Professional		$1,115.08	$1,709.87	$2,080.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,050.65 / $1,461.51 / $1,957.45	Professional		$1,050.65	$1,461.51	$1,957.45
United Facility/Professional Professional Modifier Low / Median / High Price $811.66 / $1,214.47 / $2,206.16	Professional		$811.66	$1,214.47	$2,206.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.26 / $796.39 / $796.39	Professional		$630.26	$796.39	$796.39