Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.45 / $1,885.12 / $1,968.17	Facility		$830.45	$1,885.12	$1,968.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.76 / $830.45 / $1,968.17	Professional		$713.76	$830.45	$1,968.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,077.54 / $2,559.32 / $5,871.01	Facility		$1,077.54	$2,559.32	$5,871.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $737.29 / $1,070.59 / $6,347.36	Professional		$737.29	$1,070.59	$6,347.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Facility		$741.89	$741.89	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $741.89	Professional		$541.58	$541.58	$741.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $789.88 / $1,351.71 / $3,225.00	Facility		$789.88	$1,351.71	$3,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.88 / $1,303.55 / $2,389.82	Professional		$789.88	$1,303.55	$2,389.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $849.02 / $943.36 / $1,037.69	Professional		$849.02	$943.36	$1,037.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $976.78 / $1,201.74 / $1,274.57	Facility		$976.78	$1,201.74	$1,274.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $977.57 / $1,230.58 / $1,274.57	Professional		$977.57	$1,230.58	$1,274.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,077.54 / $1,382.00 / $2,403.48	Facility		$1,077.54	$1,382.00	$2,403.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,171.29 / $1,201.74 / $1,201.74	Facility		$1,171.29	$1,201.74	$1,201.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.57 / $1,045.99 / $1,353.64	Professional		$977.57	$1,045.99	$1,353.64
United Facility/Professional Professional Modifier Low / Median / High Price $519.51 / $649.39 / $1,072.02	Professional		$519.51	$649.39	$1,072.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $737.29 / $737.29 / $737.29	Professional		$737.29	$737.29	$737.29