Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.54 / $2,239.44 / $2,338.10	Facility		$986.54	$2,239.44	$2,338.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.69 / $986.54 / $2,338.10	Professional		$864.69	$986.54	$2,338.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,280.07 / $2,787.80 / $7,400.81	Facility		$1,280.07	$2,787.80	$7,400.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.17 / $1,308.84 / $8,204.59	Professional		$1,067.17	$1,308.84	$8,204.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $888.38	Facility		$888.38	$888.38	$888.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $648.52 / $888.38	Professional		$648.52	$648.52	$888.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $864.04 / $1,470.74 / $3,931.87	Facility		$864.04	$1,470.74	$3,931.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.99 / $1,491.12 / $2,914.45	Professional		$864.99	$1,491.12	$2,914.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,008.62 / $1,120.69 / $1,232.75	Professional		$1,008.62	$1,120.69	$1,232.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,160.41 / $1,427.62 / $1,544.09	Facility		$1,160.41	$1,427.62	$1,544.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,315.69 / $1,461.88 / $1,544.09	Professional		$1,315.69	$1,461.88	$1,544.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.07 / $1,641.76 / $2,855.24	Facility		$1,280.07	$1,641.76	$2,855.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,391.44 / $1,427.62 / $1,427.62	Facility		$1,391.44	$1,427.62	$1,427.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,161.33 / $1,242.59 / $1,608.07	Professional		$1,161.33	$1,242.59	$1,608.07
United Facility/Professional Professional Modifier Low / Median / High Price $633.46 / $739.03 / $1,307.13	Professional		$633.46	$739.03	$1,307.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.53 / $676.53 / $829.97	Professional		$676.53	$676.53	$829.97