Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.68 / $2,226.14 / $2,324.21	Facility		$980.68	$2,226.14	$2,324.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.92 / $980.68 / $2,324.21	Professional		$842.92	$980.68	$2,324.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,272.46 / $3,022.47 / $6,933.23	Facility		$1,272.46	$3,022.47	$6,933.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.83 / $1,271.70 / $7,495.95	Professional		$1,034.83	$1,271.70	$7,495.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $831.10	Facility		$831.10	$831.10	$831.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $606.70 / $1,107.57	Professional		$606.70	$606.70	$1,107.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $882.72 / $1,507.42 / $3,982.08	Facility		$882.72	$1,507.42	$3,982.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.79 / $1,532.18 / $2,821.77	Professional		$932.79	$1,532.18	$2,821.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,002.61 / $1,114.02 / $1,225.42	Professional		$1,002.61	$1,114.02	$1,225.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,153.50 / $1,419.12 / $1,505.21	Facility		$1,153.50	$1,419.12	$1,505.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,154.42 / $1,453.18 / $1,505.21	Professional		$1,154.42	$1,453.18	$1,505.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,272.46 / $1,631.99 / $2,838.24	Facility		$1,272.46	$1,631.99	$2,838.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,383.16 / $1,419.12 / $1,419.12	Facility		$1,383.16	$1,419.12	$1,419.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,154.42 / $1,235.20 / $1,598.50	Professional		$1,154.42	$1,235.20	$1,598.50
United Facility/Professional Professional Modifier Low / Median / High Price $613.51 / $664.63 / $1,265.97	Professional		$613.51	$664.63	$1,265.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $804.54 / $1,235.20 / $1,235.20	Professional		$804.54	$1,235.20	$1,235.20