Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.25 / $1,226.25 / $2,617.54	Facility		$1,226.25	$1,226.25	$2,617.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.98 / $1,086.28 / $1,226.25	Professional		$827.98	$1,086.28	$1,226.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,117.21 / $1,787.54 / $4,752.43	Facility		$1,117.21	$1,787.54	$4,752.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.70 / $5,826.31 / $7,816.05	Professional		$1,199.70	$5,826.31	$7,816.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.40 / $1,271.59 / $1,523.52	Professional		$1,139.40	$1,271.59	$1,523.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,018.66 / $1,471.69 / $2,424.67	Facility		$1,018.66	$1,471.69	$2,424.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.79 / $1,479.67 / $2,408.38	Professional		$962.79	$1,479.67	$2,408.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,476.75 / $1,773.76 / $1,798.95	Facility		$1,476.75	$1,773.76	$1,798.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,117.21 / $1,340.66 / $2,547.23	Facility		$1,117.21	$1,340.66	$2,547.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $1,308.77 / $1,321.86	Professional		$1,308.77	$1,308.77	$1,321.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,112.45 / $1,112.45 / $1,112.45	Professional		$1,112.45	$1,112.45	$1,112.45