Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.64 / $1,201.75 / $2,222.91	Professional		$926.64	$1,201.75	$2,222.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $169.43 / $8,728.48 / $8,728.48	Facility		$169.43	$8,728.48	$8,728.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.43 / $1,468.86 / $2,261.52	Professional		$1,257.43	$1,468.86	$2,261.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,629.32	Facility		$1,217.05	$1,217.05	$1,629.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,034.49 / $2,148.75	Professional		$1,034.49	$1,034.49	$2,148.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,766.90 / $1,766.90 / $1,766.90	Facility		$1,766.90	$1,766.90	$1,766.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,766.90 / $1,766.90 / $1,766.90	Professional		$1,766.90	$1,766.90	$1,766.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,766.90 / $1,853.27 / $2,261.52	Facility		$1,766.90	$1,853.27	$2,261.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,766.90 / $1,766.90 / $2,261.52	Professional		$1,766.90	$1,766.90	$2,261.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.43 / $1,694.36 / $1,694.36	Facility		$169.43	$1,694.36	$1,694.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $1,458.12 / $2,084.21	Professional		$341.57	$1,458.12	$2,084.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,715.44 / $1,715.44 / $1,715.44	Facility		$1,715.44	$1,715.44	$1,715.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $169.46 / $206.33	Professional		$169.46	$169.46	$206.33
United Facility/Professional Professional Modifier Low / Median / High Price $960.91 / $961.97 / $1,846.35	Professional		$960.91	$961.97	$1,846.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,656.28 / $1,656.28 / $1,656.28	Professional		$1,656.28	$1,656.28	$1,656.28