Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.84 / $2,392.26 / $12,469.92	Facility		$1,053.84	$2,392.26	$12,469.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,053.85 / $1,823.18	Professional		$991.87	$1,053.85	$1,823.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $996.40 / $1,295.32 / $3,255.07	Facility		$996.40	$1,295.32	$3,255.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $996.40 / $1,177.84 / $5,313.60	Professional		$996.40	$1,177.84	$5,313.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $2,107.71	Facility		$1,053.85	$1,053.85	$2,107.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $968.20 / $2,982.42 / $9,117.06	Facility		$968.20	$2,982.42	$9,117.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,177.84 / $1,177.84 / $1,177.84	Professional		$1,177.84	$1,177.84	$1,177.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $80.00	Professional		$45.00	$50.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,121.76 / $1,121.76 / $2,829.78	Facility		$1,121.76	$1,121.76	$2,829.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $906.72 / $1,269.34 / $2,231.28	Facility		$906.72	$1,269.34	$2,231.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.76 / $1,121.76 / $1,121.76	Professional		$1,121.76	$1,121.76	$1,121.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,017.21 / $1,245.50 / $2,264.82	Facility		$1,017.21	$1,245.50	$2,264.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $996.40 / $1,177.84 / $1,224.96	Professional		$996.40	$1,177.84	$1,224.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,239.83	Professional		$1,033.20	$1,033.20	$1,239.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $984.00 / $1,177.84 / $1,177.84	Professional		$984.00	$1,177.84	$1,177.84