Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.19 / $2,333.98 / $2,436.81	Facility		$1,028.19	$2,333.98	$2,436.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.01 / $1,028.19 / $2,436.81	Professional		$663.01	$1,028.19	$2,436.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,334.10 / $3,278.68 / $6,061.86	Facility		$1,334.10	$3,278.68	$6,061.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $857.02 / $1,295.04 / $10,365.12	Professional		$857.02	$1,295.04	$10,365.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $714.02	Facility		$714.02	$714.02	$714.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $521.23 / $853.17	Professional		$521.23	$521.23	$853.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $718.90 / $1,447.40 / $3,270.93	Facility		$718.90	$1,447.40	$3,270.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $719.69 / $1,447.40 / $2,424.57	Professional		$719.69	$1,447.40	$2,424.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,051.19 / $1,167.99 / $1,284.78	Professional		$1,051.19	$1,167.99	$1,284.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,156.19 / $1,311.71 / $1,523.58	Facility		$1,156.19	$1,311.71	$1,523.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,183.94 / $1,371.22 / $1,523.58	Professional		$1,183.94	$1,371.22	$1,523.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,334.10 / $1,711.06 / $2,975.76	Facility		$1,334.10	$1,711.06	$2,975.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,450.17 / $1,487.88 / $1,487.88	Facility		$1,450.17	$1,487.88	$1,487.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,210.34 / $1,295.04 / $1,675.94	Professional		$1,210.34	$1,295.04	$1,675.94
United Facility/Professional Professional Modifier Low / Median / High Price $527.08 / $614.92 / $1,087.63	Professional		$527.08	$614.92	$1,087.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.88 / $302.88 / $694.89	Professional		$302.88	$302.88	$694.89