Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.03 / $1,681.61 / $3,800.83	Facility		$972.03	$1,681.61	$3,800.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.45 / $864.03 / $1,681.61	Professional		$655.45	$864.03	$1,681.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.24 / $2,861.75 / $6,648.31	Facility		$1,261.24	$2,861.75	$6,648.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $978.18 / $1,234.82 / $8,054.69	Professional		$978.18	$1,234.82	$8,054.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $840.60	Facility		$829.42	$840.60	$840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $613.64 / $840.60	Professional		$613.64	$613.64	$840.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $789.36 / $1,440.38 / $3,602.81	Facility		$789.36	$1,440.38	$3,602.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $1,440.38 / $2,670.34	Professional		$791.70	$1,440.38	$2,670.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $993.78 / $1,104.20 / $1,214.61	Professional		$993.78	$1,104.20	$1,214.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,143.33 / $1,296.33 / $1,440.38	Facility		$1,143.33	$1,296.33	$1,440.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,264.46 / $1,440.38 / $1,440.38	Professional		$1,264.46	$1,440.38	$1,440.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,261.24 / $1,617.61 / $2,813.24	Facility		$1,261.24	$1,617.61	$2,813.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,370.97 / $1,406.62 / $1,406.62	Facility		$1,370.97	$1,406.62	$1,406.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,144.25 / $1,224.32 / $1,584.42	Professional		$1,144.25	$1,224.32	$1,584.42
United Facility/Professional Professional Modifier Low / Median / High Price $580.52 / $725.66 / $1,197.90	Professional		$580.52	$725.66	$1,197.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $619.28 / $619.28 / $828.15	Professional		$619.28	$619.28	$828.15