Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.69 / $2,126.29 / $2,219.96	Facility		$936.69	$2,126.29	$2,219.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.65 / $936.69 / $2,219.96	Professional		$876.65	$936.69	$2,219.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.13 / $2,884.11 / $7,578.14	Facility		$1,262.13	$2,884.11	$7,578.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.21 / $1,262.13 / $9,570.81	Professional		$1,052.21	$1,262.13	$9,570.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,200.11	Facility		$1,200.11	$1,200.11	$1,200.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $876.09 / $1,200.11	Professional		$876.09	$876.09	$1,200.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $906.81 / $1,532.61 / $3,949.77	Facility		$906.81	$1,532.61	$3,949.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $907.81 / $1,544.15 / $3,058.44	Professional		$907.81	$1,544.15	$3,058.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $994.48 / $1,104.98 / $1,215.47	Professional		$994.48	$1,104.98	$1,215.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,144.14 / $1,407.61 / $1,921.85	Facility		$1,144.14	$1,407.61	$1,921.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,145.06 / $1,441.39 / $1,921.85	Professional		$1,145.06	$1,441.39	$1,921.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,262.13 / $1,618.75 / $2,815.22	Facility		$1,262.13	$1,618.75	$2,815.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,371.94 / $1,407.61 / $1,407.61	Facility		$1,371.94	$1,407.61	$1,407.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,145.06 / $1,225.18 / $1,585.53	Professional		$1,145.06	$1,225.18	$1,585.53
United Facility/Professional Professional Modifier Low / Median / High Price $719.09 / $1,078.64 / $1,371.94	Professional		$719.09	$1,078.64	$1,371.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $475.65 / $475.65 / $874.06	Professional		$475.65	$475.65	$874.06