Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.01 / $2,027.13 / $2,116.42	Facility		$893.01	$2,027.13	$2,116.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.74 / $893.01 / $2,116.42	Professional		$689.74	$893.01	$2,116.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.27 / $2,986.19 / $7,109.86	Facility		$1,203.27	$2,986.19	$7,109.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.14 / $1,282.55 / $9,440.37	Professional		$1,003.14	$1,282.55	$9,440.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,036.33	Facility		$1,036.33	$1,036.33	$1,036.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $756.53 / $1,036.33	Professional		$756.53	$756.53	$1,036.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $1,461.10 / $3,765.56	Facility		$864.50	$1,461.10	$3,765.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.45 / $1,472.43 / $2,916.11	Professional		$865.45	$1,472.43	$2,916.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $948.10 / $1,053.45 / $1,158.79	Professional		$948.10	$1,053.45	$1,158.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,236.75 / $1,347.14 / $1,379.47	Facility		$1,236.75	$1,347.14	$1,379.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,091.66 / $1,091.66 / $1,091.66	Professional		$1,091.66	$1,091.66	$1,091.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,203.27 / $1,543.25 / $2,683.92	Facility		$1,203.27	$1,543.25	$2,683.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,307.95 / $1,341.96 / $1,341.96	Facility		$1,307.95	$1,341.96	$1,341.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,091.66 / $1,168.04 / $1,511.59	Professional		$1,091.66	$1,168.04	$1,511.59
United Facility/Professional Professional Modifier Low / Median / High Price $685.56 / $1,032.69 / $1,307.95	Professional		$685.56	$1,032.69	$1,307.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $729.66 / $729.66 / $839.51	Professional		$729.66	$729.66	$839.51