Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.99 / $2,114.02 / $6,813.00	Facility		$891.99	$2,114.02	$6,813.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.76 / $834.64 / $1,487.35	Professional		$758.76	$834.64	$1,487.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,157.38 / $3,168.65 / $6,665.91	Facility		$1,157.38	$3,168.65	$6,665.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $765.53 / $1,149.93 / $7,284.37	Professional		$765.53	$1,149.93	$7,284.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $1,024.81	Professional		$661.77	$661.77	$1,024.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $885.98 / $1,516.16 / $3,617.81	Facility		$885.98	$1,516.16	$3,617.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.98 / $1,455.29 / $2,681.10	Professional		$885.98	$1,455.29	$2,681.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $911.95 / $1,013.28 / $1,114.60	Professional		$911.95	$1,013.28	$1,114.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,049.19 / $1,263.33 / $1,321.76	Facility		$1,049.19	$1,263.33	$1,321.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,255.67 / $1,321.76 / $1,453.94	Professional		$1,255.67	$1,321.76	$1,453.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.38 / $1,484.40 / $2,581.56	Facility		$1,157.38	$1,484.40	$2,581.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.07 / $1,290.78 / $1,290.78	Facility		$1,258.07	$1,290.78	$1,290.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,050.03 / $1,123.50 / $1,453.94	Professional		$1,050.03	$1,123.50	$1,453.94
United Facility/Professional Professional Modifier Low / Median / High Price $582.73 / $630.26 / $1,202.46	Professional		$582.73	$630.26	$1,202.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $765.53 / $765.53 / $765.53	Professional		$765.53	$765.53	$765.53