Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.07 / $2,068.13 / $2,159.23	Facility		$911.07	$2,068.13	$2,159.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.67 / $911.07 / $1,576.15	Professional		$717.67	$911.07	$1,576.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,408.14 / $2,748.29 / $7,674.31	Facility		$1,408.14	$2,748.29	$7,674.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.70 / $1,454.12 / $8,311.57	Professional		$1,125.70	$1,454.12	$8,311.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $125.77	Professional		$102.00	$102.00	$125.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $629.52 / $1,608.14 / $3,407.96	Facility		$629.52	$1,608.14	$3,407.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,527.73 / $1,608.14 / $3,407.96	Professional		$1,527.73	$1,608.14	$3,407.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,570.45 / $1,608.14 / $1,668.99	Facility		$1,570.45	$1,608.14	$1,668.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,334.88 / $1,408.14 / $3,062.38	Facility		$1,334.88	$1,408.14	$3,062.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $1,436.30 / $1,806.02	Professional		$133.88	$1,436.30	$1,806.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,530.65 / $1,570.45 / $1,570.45	Facility		$1,530.65	$1,570.45	$1,570.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,284.90 / $1,366.92 / $1,768.95	Professional		$1,284.90	$1,366.92	$1,768.95
United Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $74.20 / $1,401.30	Professional		$68.50	$74.20	$1,401.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $83.47 / $83.47	Professional		$83.47	$83.47	$83.47