Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.08 / $2,068.15 / $2,159.26	Facility		$911.08	$2,068.15	$2,159.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.60 / $911.08 / $2,159.26	Professional		$767.60	$911.08	$2,159.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,182.15 / $2,811.85 / $6,344.91	Facility		$1,182.15	$2,811.85	$6,344.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $945.04 / $1,179.64 / $7,124.59	Professional		$945.04	$1,179.64	$7,124.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $752.15	Facility		$752.15	$752.15	$752.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $876.79	Professional		$549.07	$549.07	$876.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $757.12 / $1,350.05 / $3,447.18	Facility		$757.12	$1,350.05	$3,447.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.95 / $1,350.05 / $2,553.66	Professional		$757.95	$1,350.05	$2,553.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $931.46 / $1,034.96 / $1,138.45	Professional		$931.46	$1,034.96	$1,138.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.65 / $1,318.41 / $1,370.72	Facility		$1,071.65	$1,318.41	$1,370.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,215.05 / $1,350.05 / $1,370.72	Professional		$1,215.05	$1,350.05	$1,370.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.15 / $1,516.17 / $2,636.82	Facility		$1,182.15	$1,516.17	$2,636.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,318.41 / $1,318.41	Facility		$1,285.00	$1,318.41	$1,318.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,072.50 / $1,147.54 / $1,485.06	Professional		$1,072.50	$1,147.54	$1,485.06
United Facility/Professional Professional Modifier Low / Median / High Price $555.23 / $601.50 / $1,145.71	Professional		$555.23	$601.50	$1,145.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $642.17 / $642.17 / $722.95	Professional		$642.17	$642.17	$722.95