Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.10 / $2,040.96 / $2,130.87	Facility		$899.10	$2,040.96	$2,130.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.20 / $899.10 / $2,130.87	Professional		$799.20	$899.10	$2,130.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,166.60 / $3,084.52 / $7,134.94	Facility		$1,166.60	$3,084.52	$7,134.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $972.59 / $1,318.29 / $9,077.27	Professional		$972.59	$1,318.29	$9,077.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $832.50	Facility		$832.50	$832.50	$832.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $607.73 / $832.50	Professional		$607.73	$607.73	$832.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $838.11 / $1,416.49 / $3,650.88	Facility		$838.11	$1,416.49	$3,650.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.03 / $1,426.86 / $2,826.74	Professional		$839.03	$1,426.86	$2,826.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $919.22 / $1,021.36 / $1,123.49	Professional		$919.22	$1,021.36	$1,123.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,057.55 / $1,301.08 / $1,497.49	Facility		$1,057.55	$1,301.08	$1,497.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,199.08 / $1,332.31 / $1,497.49	Professional		$1,199.08	$1,332.31	$1,497.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,166.60 / $1,496.24 / $2,602.16	Facility		$1,166.60	$1,496.24	$2,602.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,268.10 / $1,301.08 / $1,301.08	Facility		$1,268.10	$1,301.08	$1,301.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,058.40 / $1,132.46 / $1,465.54	Professional		$1,058.40	$1,132.46	$1,465.54
United Facility/Professional Professional Modifier Low / Median / High Price $625.66 / $716.97 / $1,268.10	Professional		$625.66	$716.97	$1,268.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $714.00 / $811.44	Professional		$714.00	$714.00	$811.44