Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.30 / $1,791.71 / $2,591.00	Facility		$789.30	$1,791.71	$2,591.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.11 / $789.30 / $1,365.49	Professional		$593.11	$789.30	$1,365.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,024.15 / $2,432.63 / $5,580.24	Facility		$1,024.15	$2,432.63	$5,580.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $694.80 / $1,017.55 / $6,033.17	Professional		$694.80	$1,017.55	$6,033.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $958.87	Facility		$736.69	$736.69	$958.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $958.87	Professional		$537.78	$537.78	$958.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $706.68 / $1,183.55 / $3,065.62	Facility		$706.68	$1,183.55	$3,065.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.40 / $1,192.99 / $2,271.48	Professional		$710.40	$1,192.99	$2,271.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $806.96 / $896.63 / $986.29	Professional		$806.96	$896.63	$986.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $928.41 / $1,142.19 / $1,211.48	Facility		$928.41	$1,142.19	$1,211.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $929.15 / $1,169.59 / $1,211.48	Professional		$929.15	$1,169.59	$1,211.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.15 / $1,313.52 / $2,284.38	Facility		$1,024.15	$1,313.52	$2,284.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,113.25 / $1,142.19 / $1,142.19	Facility		$1,113.25	$1,142.19	$1,142.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $929.15 / $994.16 / $1,286.56	Professional		$929.15	$994.16	$1,286.56
United Facility/Professional Professional Modifier Low / Median / High Price $493.79 / $576.09 / $1,018.92	Professional		$493.79	$576.09	$1,018.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $236.17 / $643.89	Professional		$236.17	$236.17	$643.89