Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.89 / $2,249.32 / $2,348.41	Facility		$990.89	$2,249.32	$2,348.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.70 / $990.89 / $2,348.41	Professional		$851.70	$990.89	$2,348.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.71 / $3,053.89 / $7,005.45	Facility		$1,285.71	$3,053.89	$7,005.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.61 / $1,284.96 / $7,574.03	Professional		$1,045.61	$1,284.96	$7,574.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,038.85	Facility		$1,038.85	$1,038.85	$1,038.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $758.37 / $1,038.85	Professional		$758.37	$758.37	$1,038.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $887.12 / $1,485.84 / $3,847.50	Facility		$887.12	$1,485.84	$3,847.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.84 / $1,497.69 / $2,851.56	Professional		$891.84	$1,497.69	$2,851.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,013.06 / $1,125.63 / $1,238.19	Professional		$1,013.06	$1,125.63	$1,238.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,165.53 / $1,433.91 / $1,520.89	Facility		$1,165.53	$1,433.91	$1,520.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,321.49 / $1,468.32 / $1,520.89	Professional		$1,321.49	$1,468.32	$1,520.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,285.71 / $1,649.00 / $2,867.82	Facility		$1,285.71	$1,649.00	$2,867.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,397.57 / $1,433.91 / $1,433.91	Facility		$1,397.57	$1,433.91	$1,433.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,166.46 / $1,248.07 / $1,615.15	Professional		$1,166.46	$1,248.07	$1,615.15
United Facility/Professional Professional Modifier Low / Median / High Price $619.90 / $670.46 / $1,279.15	Professional		$619.90	$670.46	$1,279.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $586.17 / $586.17 / $797.06	Professional		$586.17	$586.17	$797.06