Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.41 / $1,737.48 / $1,814.02	Facility		$765.41	$1,737.48	$1,814.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.66 / $765.41 / $1,814.02	Professional		$597.66	$765.41	$1,814.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,031.33 / $2,012.89 / $5,337.26	Facility		$1,031.33	$2,012.89	$5,337.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $824.48 / $1,051.21 / $6,425.38	Professional		$824.48	$1,051.21	$6,425.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $765.11	Facility		$765.11	$765.11	$765.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $558.53 / $765.11	Professional		$558.53	$558.53	$765.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $666.24 / $1,201.39 / $3,227.51	Facility		$666.24	$1,201.39	$3,227.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.01 / $1,177.83 / $2,129.98	Professional		$704.01	$1,177.83	$2,129.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $812.62 / $902.92 / $993.21	Professional		$812.62	$902.92	$993.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $947.43 / $1,150.22 / $1,195.33	Facility		$947.43	$1,150.22	$1,195.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,060.05 / $1,177.83 / $1,195.33	Professional		$1,060.05	$1,177.83	$1,195.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.69 / $1,031.33 / $2,242.92	Facility		$977.69	$1,031.33	$2,242.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.69 / $1,065.02 / $1,360.28	Professional		$977.69	$1,065.02	$1,360.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,121.07 / $1,150.22 / $1,150.22	Facility		$1,121.07	$1,150.22	$1,150.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $935.67 / $1,001.16 / $1,295.60	Professional		$935.67	$1,001.16	$1,295.60
United Facility/Professional Professional Modifier Low / Median / High Price $500.87 / $754.48 / $955.59	Professional		$500.87	$754.48	$955.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $671.25 / $671.25 / $1,001.16	Professional		$671.25	$671.25	$1,001.16