Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.75 / $2,521.40 / $2,632.48	Facility		$1,110.75	$2,521.40	$2,632.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.70 / $1,110.75 / $1,529.16	Professional		$954.70	$1,110.75	$1,529.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,441.24 / $3,423.25 / $7,852.81	Facility		$1,441.24	$3,423.25	$7,852.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.09 / $1,431.97 / $8,490.04	Professional		$1,172.09	$1,431.97	$8,490.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $941.33	Facility		$941.33	$941.33	$941.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $687.17 / $941.33	Professional		$687.17	$687.17	$941.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $994.76 / $1,665.77 / $4,313.43	Facility		$994.76	$1,665.77	$4,313.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $999.84 / $1,678.86 / $3,196.63	Professional		$999.84	$1,678.86	$3,196.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,135.60 / $1,261.78 / $1,387.95	Professional		$1,135.60	$1,261.78	$1,387.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,306.50 / $1,607.36 / $1,704.83	Facility		$1,306.50	$1,607.36	$1,704.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,585.36 / $1,645.94 / $1,704.83	Professional		$1,585.36	$1,645.94	$1,704.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,441.24 / $1,848.46 / $3,214.72	Facility		$1,441.24	$1,848.46	$3,214.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,566.63 / $1,607.36 / $1,607.36	Facility		$1,566.63	$1,607.36	$1,607.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,307.54 / $1,399.05 / $1,810.53	Professional		$1,307.54	$1,399.05	$1,810.53
United Facility/Professional Professional Modifier Low / Median / High Price $694.88 / $752.78 / $1,433.87	Professional		$694.88	$752.78	$1,433.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $916.09 / $916.09 / $916.09	Professional		$916.09	$916.09	$916.09