Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.86 / $2,589.77 / $2,703.86	Facility		$1,140.86	$2,589.77	$2,703.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.58 / $1,140.86 / $2,703.86	Professional		$807.58	$1,140.86	$2,703.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,537.26 / $3,343.18 / $7,595.27	Facility		$1,537.26	$3,343.18	$7,595.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.35 / $1,509.82 / $8,690.21	Professional		$1,053.35	$1,509.82	$8,690.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $895.00	Facility		$895.00	$895.00	$895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $653.35 / $895.00	Professional		$653.35	$653.35	$895.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $901.35 / $1,718.82 / $4,100.62	Facility		$901.35	$1,718.82	$4,100.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.34 / $1,682.06 / $3,039.40	Professional		$902.34	$1,682.06	$3,039.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,211.26 / $1,345.85 / $1,480.43	Professional		$1,211.26	$1,345.85	$1,480.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,393.55 / $1,615.16 / $1,755.60	Facility		$1,393.55	$1,615.16	$1,755.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,580.04 / $1,755.60 / $1,755.60	Professional		$1,580.04	$1,755.60	$1,755.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,537.26 / $1,971.62 / $3,428.90	Facility		$1,537.26	$1,971.62	$3,428.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $1,714.45 / $1,714.45	Facility		$1,671.00	$1,714.45	$1,714.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,394.66 / $1,492.26 / $1,931.16	Professional		$1,394.66	$1,492.26	$1,931.16
United Facility/Professional Professional Modifier Low / Median / High Price $714.57 / $1,076.40 / $1,363.30	Professional		$714.57	$1,076.40	$1,363.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $760.54 / $760.54 / $871.01	Professional		$760.54	$760.54	$871.01