Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.75 / $2,273.96 / $2,374.15	Facility		$1,001.75	$2,273.96	$2,374.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.54 / $1,001.75 / $2,374.15	Professional		$937.54	$1,001.75	$2,374.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,349.79 / $2,990.79 / $8,261.60	Facility		$1,349.79	$2,990.79	$8,261.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.58 / $1,541.50 / $10,112.74	Professional		$1,224.58	$1,541.50	$10,112.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $963.22	Facility		$963.22	$963.22	$963.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $963.23	Professional		$703.15	$703.15	$963.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $970.06 / $1,639.50 / $4,224.10	Facility		$970.06	$1,639.50	$4,224.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.12 / $1,651.31 / $3,271.10	Professional		$971.12	$1,651.31	$3,271.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,063.55 / $1,181.73 / $1,299.90	Professional		$1,063.55	$1,181.73	$1,299.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,223.60 / $1,505.37 / $2,030.67	Facility		$1,223.60	$1,505.37	$2,030.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,464.43 / $1,541.50 / $2,030.67	Professional		$1,464.43	$1,541.50	$2,030.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,349.79 / $1,731.18 / $3,010.74	Facility		$1,349.79	$1,731.18	$3,010.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,467.22 / $1,505.37 / $1,505.37	Facility		$1,467.22	$1,505.37	$1,505.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,224.58 / $1,310.28 / $1,695.65	Professional		$1,224.58	$1,310.28	$1,695.65
United Facility/Professional Professional Modifier Low / Median / High Price $769.04 / $1,158.45 / $1,467.22	Professional		$769.04	$1,158.45	$1,467.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,450.68 / $1,450.68 / $1,450.68	Professional		$1,450.68	$1,450.68	$1,450.68