Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.21 / $2,041.21 / $2,131.13	Facility		$899.21	$2,041.21	$2,131.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.23 / $899.21 / $2,131.13	Professional		$715.23	$899.21	$2,131.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,166.75 / $3,071.82 / $6,718.33	Facility		$1,166.75	$3,071.82	$6,718.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $972.70 / $1,166.75 / $9,710.91	Professional		$972.70	$1,166.75	$9,710.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,057.34	Facility		$1,057.34	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $771.87 / $1,057.34	Professional		$771.87	$771.87	$1,057.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $802.16 / $1,366.11 / $3,650.62	Facility		$802.16	$1,366.11	$3,650.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.04 / $1,366.11 / $2,705.92	Professional		$803.04	$1,366.11	$2,705.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $919.31 / $1,021.46 / $1,123.60	Professional		$919.31	$1,021.46	$1,123.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,057.66 / $1,277.19 / $1,332.46	Facility		$1,057.66	$1,277.19	$1,332.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,199.21 / $1,332.46 / $1,404.91	Professional		$1,199.21	$1,332.46	$1,404.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,166.75 / $1,496.41 / $2,602.46	Facility		$1,166.75	$1,496.41	$2,602.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,268.26 / $1,301.23 / $1,301.23	Facility		$1,268.26	$1,301.23	$1,301.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,058.51 / $1,132.58 / $1,465.71	Professional		$1,058.51	$1,132.58	$1,465.71
United Facility/Professional Professional Modifier Low / Median / High Price $588.14 / $637.16 / $1,213.61	Professional		$588.14	$637.16	$1,213.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $598.47 / $598.47 / $775.39	Professional		$598.47	$598.47	$775.39