Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.38 / $2,313.98 / $2,415.92	Facility		$1,019.38	$2,313.98	$2,415.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.12 / $1,019.38 / $2,415.92	Professional		$639.12	$1,019.38	$2,415.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.67 / $2,876.48 / $6,073.14	Facility		$1,322.67	$2,876.48	$6,073.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $888.87 / $1,283.94 / $7,833.15	Professional		$888.87	$1,283.94	$7,833.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $713.15	Facility		$713.15	$713.15	$713.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $520.60 / $826.10	Professional		$520.60	$520.60	$826.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $717.99 / $1,434.99 / $3,268.12	Facility		$717.99	$1,434.99	$3,268.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.77 / $1,434.99 / $2,422.09	Professional		$718.77	$1,434.99	$2,422.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,042.18 / $1,157.98 / $1,273.77	Professional		$1,042.18	$1,157.98	$1,273.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,114.53 / $1,300.48 / $1,510.52	Facility		$1,114.53	$1,300.48	$1,510.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,141.28 / $1,510.52 / $1,510.52	Professional		$1,141.28	$1,510.52	$1,510.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.67 / $1,696.39 / $2,950.24	Facility		$1,322.67	$1,696.39	$2,950.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,437.74 / $1,475.12 / $1,475.12	Facility		$1,437.74	$1,475.12	$1,475.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,199.98 / $1,283.94 / $1,661.57	Professional		$1,199.98	$1,283.94	$1,661.57
United Facility/Professional Professional Modifier Low / Median / High Price $526.42 / $651.10 / $1,086.29	Professional		$526.42	$651.10	$1,086.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.45 / $317.45 / $705.45	Professional		$317.45	$317.45	$705.45