Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.63 / $2,237.38 / $2,335.94	Facility		$985.63	$2,237.38	$2,335.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.13 / $985.63 / $2,335.94	Professional		$897.13	$985.63	$2,335.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.08 / $3,195.32 / $7,424.54	Facility		$1,328.08	$3,195.32	$7,424.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.11 / $1,318.77 / $10,101.42	Professional		$1,060.11	$1,318.77	$10,101.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $870.50	Facility		$870.50	$870.50	$870.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $635.47 / $870.50	Professional		$635.47	$635.47	$870.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $846.75 / $1,516.70 / $3,853.12	Facility		$846.75	$1,516.70	$3,853.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.68 / $1,516.70 / $2,855.70	Professional		$847.68	$1,516.70	$2,855.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,046.44 / $1,162.72 / $1,278.99	Professional		$1,046.44	$1,162.72	$1,278.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,203.93 / $1,481.15 / $1,794.25	Facility		$1,203.93	$1,481.15	$1,794.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,440.87 / $1,516.70 / $1,794.25	Professional		$1,440.87	$1,516.70	$1,794.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,328.08 / $1,703.32 / $2,962.30	Facility		$1,328.08	$1,703.32	$2,962.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,443.62 / $1,481.15 / $1,481.15	Facility		$1,443.62	$1,481.15	$1,481.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,204.89 / $1,289.20 / $1,668.37	Professional		$1,204.89	$1,289.20	$1,668.37
United Facility/Professional Professional Modifier Low / Median / High Price $671.35 / $1,007.02 / $1,280.83	Professional		$671.35	$1,007.02	$1,280.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $604.40 / $604.40 / $822.12	Professional		$604.40	$604.40	$822.12