Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.40 / $2,066.61 / $2,157.65	Facility		$910.40	$2,066.61	$2,157.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.24 / $910.40 / $2,157.65	Professional		$809.24	$910.40	$2,157.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,181.27 / $3,123.09 / $7,102.37	Facility		$1,181.27	$3,123.09	$7,102.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $984.81 / $1,204.03 / $8,633.90	Professional		$984.81	$1,204.03	$8,633.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $842.96	Facility		$842.96	$842.96	$842.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $973.84	Professional		$615.36	$615.36	$973.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $848.57 / $1,434.18 / $3,696.72	Facility		$848.57	$1,434.18	$3,696.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.50 / $1,445.42 / $2,863.15	Professional		$849.50	$1,445.42	$2,863.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $930.77 / $1,034.19 / $1,137.60	Professional		$930.77	$1,034.19	$1,137.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,070.83 / $1,317.43 / $1,514.95	Facility		$1,070.83	$1,317.43	$1,514.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,214.15 / $1,349.05 / $1,514.95	Professional		$1,214.15	$1,349.05	$1,514.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,181.27 / $1,515.04 / $2,634.86	Facility		$1,181.27	$1,515.04	$2,634.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,284.04 / $1,317.43 / $1,317.43	Facility		$1,284.04	$1,317.43	$1,317.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.70 / $1,146.69 / $1,483.96	Professional		$1,071.70	$1,146.69	$1,483.96
United Facility/Professional Professional Modifier Low / Median / High Price $622.27 / $674.12 / $1,284.04	Professional		$622.27	$674.12	$1,284.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $789.98 / $833.17 / $833.17	Professional		$789.98	$833.17	$833.17