Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.58 / $2,155.55 / $2,250.50	Facility		$949.58	$2,155.55	$2,250.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.52 / $949.58 / $2,250.50	Professional		$801.52	$949.58	$2,250.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,279.50 / $3,247.71 / $7,602.61	Facility		$1,279.50	$3,247.71	$7,602.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.70 / $1,303.55 / $9,088.15	Professional		$1,066.70	$1,303.55	$9,088.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $913.06	Facility		$913.06	$913.06	$913.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $666.53 / $913.06	Professional		$666.53	$666.53	$913.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $919.55 / $1,554.14 / $4,004.12	Facility		$919.55	$1,554.14	$4,004.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.56 / $1,565.24 / $3,100.64	Professional		$920.56	$1,565.24	$3,100.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,008.17 / $1,120.19 / $1,232.20	Professional		$1,008.17	$1,120.19	$1,232.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,159.89 / $1,426.98 / $1,603.04	Facility		$1,159.89	$1,426.98	$1,603.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,159.89 / $1,461.23 / $1,603.04	Professional		$1,159.89	$1,461.23	$1,603.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,279.50 / $1,641.03 / $2,853.96	Facility		$1,279.50	$1,641.03	$2,853.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,390.82 / $1,426.98 / $1,426.98	Facility		$1,390.82	$1,426.98	$1,426.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,160.82 / $1,242.05 / $1,607.35	Professional		$1,160.82	$1,242.05	$1,607.35
United Facility/Professional Professional Modifier Low / Median / High Price $728.99 / $1,093.49 / $1,390.82	Professional		$728.99	$1,093.49	$1,390.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $565.69 / $565.69 / $880.36	Professional		$565.69	$565.69	$880.36