Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.99 / $2,024.82 / $2,114.02	Facility		$891.99	$2,024.82	$2,114.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.46 / $891.99 / $2,114.02	Professional		$707.46	$891.99	$2,114.02
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 $770.62 / $1,149.93 / $7,284.37	Professional		$770.62	$1,149.93	$7,284.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $1,014.49 / $1,014.49	Facility		$1,014.49	$1,014.49	$1,014.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $740.58 / $1,025.05	Professional		$740.58	$740.58	$1,025.05
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 $1,050.03 / $1,263.33 / $1,321.76	Professional		$1,050.03	$1,263.33	$1,321.76
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 / $631.29 / $1,202.46	Professional		$582.73	$631.29	$1,202.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $770.62 / $770.62 / $770.62	Professional		$770.62	$770.62	$770.62