Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.20 / $2,286.34 / $2,387.06	Facility		$1,007.20	$2,286.34	$2,387.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.30 / $1,007.20 / $2,387.06	Professional		$804.30	$1,007.20	$2,387.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,357.14 / $2,951.46 / $7,396.37	Facility		$1,357.14	$2,951.46	$7,396.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.99 / $1,356.35 / $8,010.83	Professional		$1,103.99	$1,356.35	$8,010.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $886.63	Facility		$886.63	$886.63	$886.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $647.24 / $886.63	Professional		$647.24	$647.24	$886.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $892.71 / $1,549.90 / $4,062.18	Facility		$892.71	$1,549.90	$4,062.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.69 / $1,569.01 / $3,011.27	Professional		$893.69	$1,569.01	$3,011.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,069.34 / $1,188.16 / $1,306.97	Professional		$1,069.34	$1,188.16	$1,306.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.26 / $1,513.57 / $1,608.60	Facility		$1,230.26	$1,513.57	$1,608.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,394.91 / $1,549.90 / $1,608.60	Professional		$1,394.91	$1,549.90	$1,608.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,357.14 / $1,740.61 / $3,027.14	Facility		$1,357.14	$1,740.61	$3,027.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,475.21 / $1,513.57 / $1,513.57	Facility		$1,475.21	$1,513.57	$1,513.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,231.25 / $1,317.42 / $1,704.89	Professional		$1,231.25	$1,317.42	$1,704.89
United Facility/Professional Professional Modifier Low / Median / High Price $707.89 / $1,066.33 / $1,350.55	Professional		$707.89	$1,066.33	$1,350.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.09 / $858.09 / $954.08	Professional		$858.09	$858.09	$954.08