Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,433.46 / $3,253.95 / $6,688.25	Facility		$1,433.46	$3,253.95	$6,688.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.18 / $1,433.46 / $3,397.30	Professional		$1,274.18	$1,433.46	$3,397.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,859.96 / $5,004.92 / $11,068.57	Facility		$1,859.96	$5,004.92	$11,068.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.61 / $1,939.74 / $12,159.31	Professional		$1,550.61	$1,939.74	$12,159.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,327.28	Facility		$1,327.28	$1,327.28	$1,327.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $968.91 / $1,560.62	Professional		$968.91	$968.91	$1,560.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,402.44 / $2,275.71 / $5,820.62	Facility		$1,402.44	$2,275.71	$5,820.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,409.76 / $2,285.28 / $4,507.39	Professional		$1,409.76	$2,285.28	$4,507.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,465.53 / $1,628.37 / $1,791.20	Professional		$1,465.53	$1,628.37	$1,791.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,686.08 / $2,074.34 / $2,437.52	Facility		$1,686.08	$2,074.34	$2,437.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,911.71 / $2,124.12 / $2,437.52	Professional		$1,911.71	$2,124.12	$2,437.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,859.96 / $2,385.48 / $4,148.68	Facility		$1,859.96	$2,385.48	$4,148.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,021.77 / $2,074.34 / $2,074.34	Facility		$2,021.77	$2,074.34	$2,074.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,687.43 / $1,805.50 / $2,336.53	Professional		$1,687.43	$1,805.50	$2,336.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,832.16 / $3,398.59 / $3,398.59	Facility		$2,832.16	$3,398.59	$3,398.59
United Facility/Professional Professional Modifier Low / Median / High Price $979.78 / $1,061.42 / $2,021.77	Professional		$979.78	$1,061.42	$2,021.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,218.31 / $1,218.31 / $1,271.10	Professional		$1,218.31	$1,218.31	$1,271.10