Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.11 / $2,102.27 / $2,194.88	Facility		$926.11	$2,102.27	$2,194.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.02 / $926.11 / $2,194.88	Professional		$796.02	$926.11	$2,194.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,201.65 / $2,854.24 / $6,547.41	Facility		$1,201.65	$2,854.24	$6,547.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $977.25 / $1,200.94 / $7,078.87	Professional		$977.25	$1,200.94	$7,078.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $907.46	Facility		$907.46	$907.46	$907.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $662.45 / $1,041.27	Professional		$662.45	$662.45	$1,041.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $833.76 / $1,423.81 / $3,760.49	Facility		$833.76	$1,423.81	$3,760.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $881.02 / $1,447.14 / $2,665.37	Professional		$881.02	$1,447.14	$2,665.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $946.81 / $1,052.02 / $1,157.22	Professional		$946.81	$1,052.02	$1,157.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,089.31 / $1,340.15 / $1,421.46	Facility		$1,089.31	$1,340.15	$1,421.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,235.08 / $1,372.31 / $1,421.46	Professional		$1,235.08	$1,372.31	$1,421.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,201.65 / $1,541.17 / $2,680.30	Facility		$1,201.65	$1,541.17	$2,680.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,306.19 / $1,340.15 / $1,340.15	Facility		$1,306.19	$1,340.15	$1,340.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,090.18 / $1,166.46 / $1,509.54	Professional		$1,090.18	$1,166.46	$1,509.54
United Facility/Professional Professional Modifier Low / Median / High Price $579.37 / $627.65 / $1,195.52	Professional		$579.37	$627.65	$1,195.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $735.52 / $1,166.46 / $1,166.46	Professional		$735.52	$1,166.46	$1,166.46