Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.44 / $2,264.19 / $2,363.92	Facility		$997.44	$2,264.19	$2,363.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.98 / $997.44 / $2,363.92	Professional		$676.98	$997.44	$2,363.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,294.21 / $3,049.95 / $6,411.18	Facility		$1,294.21	$3,049.95	$6,411.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $941.53 / $1,257.76 / $8,001.72	Professional		$941.53	$1,257.76	$8,001.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $755.39	Facility		$755.39	$755.39	$755.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $551.42 / $951.02	Professional		$551.42	$551.42	$951.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $760.76 / $1,450.91 / $3,461.25	Facility		$760.76	$1,450.91	$3,461.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.59 / $1,416.12 / $2,565.25	Professional		$761.59	$1,416.12	$2,565.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,019.76 / $1,133.07 / $1,246.37	Professional		$1,019.76	$1,133.07	$1,246.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,173.24 / $1,329.78 / $1,478.03	Facility		$1,173.24	$1,329.78	$1,478.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,208.89 / $1,330.23 / $1,478.03	Professional		$1,208.89	$1,330.23	$1,478.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,294.21 / $1,659.90 / $2,886.78	Facility		$1,294.21	$1,659.90	$2,886.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,406.81 / $1,443.39 / $1,443.39	Facility		$1,406.81	$1,443.39	$1,443.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.17 / $1,256.33 / $1,625.83	Professional		$1,174.17	$1,256.33	$1,625.83
United Facility/Professional Professional Modifier Low / Median / High Price $557.62 / $703.62 / $1,150.65	Professional		$557.62	$703.62	$1,150.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $520.41 / $520.41 / $736.27	Professional		$520.41	$520.41	$736.27