Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.59 / $2,421.17 / $2,527.84	Facility		$1,066.59	$2,421.17	$2,527.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.82 / $1,066.59 / $2,527.84	Professional		$698.82	$1,066.59	$2,527.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.17 / $3,125.50 / $7,263.59	Facility		$1,437.17	$3,125.50	$7,263.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.28 / $1,395.10 / $8,124.39	Professional		$1,073.28	$1,395.10	$8,124.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,105.99	Facility		$1,105.99	$1,105.99	$1,105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $807.37 / $1,105.99	Professional		$807.37	$807.37	$1,105.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $868.59 / $1,641.29 / $3,952.50	Facility		$868.59	$1,641.29	$3,952.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.54 / $1,590.23 / $2,929.35	Professional		$869.54	$1,590.23	$2,929.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,132.39 / $1,258.22 / $1,384.04	Professional		$1,132.39	$1,258.22	$1,384.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,302.83 / $1,477.16 / $1,641.29	Facility		$1,302.83	$1,477.16	$1,641.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,327.03 / $1,641.29 / $1,641.29	Professional		$1,327.03	$1,641.29	$1,641.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,437.17 / $1,843.24 / $3,205.64	Facility		$1,437.17	$1,843.24	$3,205.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,562.20 / $1,602.82 / $1,602.82	Facility		$1,562.20	$1,602.82	$1,602.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,303.85 / $1,395.10 / $1,805.42	Professional		$1,303.85	$1,395.10	$1,805.42
United Facility/Professional Professional Modifier Low / Median / High Price $688.77 / $1,033.16 / $1,314.08	Professional		$688.77	$1,033.16	$1,314.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $778.44 / $778.44 / $843.45	Professional		$778.44	$778.44	$843.45