Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.40 / $2,482.02 / $2,591.36	Facility		$1,093.40	$2,482.02	$2,591.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.91 / $1,093.40 / $2,591.36	Professional		$971.91	$1,093.40	$2,591.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,418.72 / $3,469.88 / $8,437.43	Facility		$1,418.72	$3,469.88	$8,437.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $970.78 / $1,409.59 / $10,969.29	Professional		$970.78	$1,409.59	$10,969.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $1,030.36	Facility		$1,030.36	$1,030.36	$1,030.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $1,034.00	Professional		$752.17	$752.17	$1,034.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,119.41 / $1,883.01 / $4,439.85	Facility		$1,119.41	$1,883.01	$4,439.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,119.41 / $1,838.72 / $3,387.78	Professional		$1,119.41	$1,838.72	$3,387.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,117.87 / $1,242.08 / $1,366.28	Professional		$1,117.87	$1,242.08	$1,366.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,286.09 / $1,582.25 / $1,876.56	Facility		$1,286.09	$1,582.25	$1,876.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,458.20 / $1,620.22 / $1,876.56	Professional		$1,458.20	$1,620.22	$1,876.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,418.72 / $1,819.59 / $3,164.50	Facility		$1,418.72	$1,819.59	$3,164.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,542.15 / $1,582.25 / $1,582.25	Facility		$1,542.15	$1,582.25	$1,582.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,287.13 / $1,377.19 / $1,782.24	Professional		$1,287.13	$1,377.19	$1,782.24
United Facility/Professional Professional Modifier Low / Median / High Price $736.35 / $885.47 / $1,519.46	Professional		$736.35	$885.47	$1,519.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $970.78 / $970.78 / $970.78	Professional		$970.78	$970.78	$970.78