Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.69 / $2,375.98 / $2,480.66	Facility		$1,046.69	$2,375.98	$2,480.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.67 / $1,046.69 / $2,480.66	Professional		$899.67	$1,046.69	$2,480.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,358.11 / $3,225.93 / $7,399.97	Facility		$1,358.11	$3,225.93	$7,399.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $929.30 / $1,349.37 / $8,000.67	Professional		$929.30	$1,349.37	$8,000.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,115.23	Facility		$1,115.23	$1,115.23	$1,115.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,115.23	Professional		$814.12	$814.12	$1,115.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $995.72 / $1,703.96 / $4,065.00	Facility		$995.72	$1,703.96	$4,065.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.72 / $1,642.97 / $3,012.92	Professional		$995.72	$1,642.97	$3,012.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,070.11 / $1,189.02 / $1,307.92	Professional		$1,070.11	$1,189.02	$1,307.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,231.15 / $1,514.65 / $1,606.56	Facility		$1,231.15	$1,514.65	$1,606.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,395.90 / $1,551.00 / $1,606.56	Professional		$1,395.90	$1,551.00	$1,606.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.11 / $1,741.85 / $3,029.30	Facility		$1,358.11	$1,741.85	$3,029.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,476.27 / $1,514.65 / $1,514.65	Facility		$1,476.27	$1,514.65	$1,514.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,232.14 / $1,318.35 / $1,706.10	Professional		$1,232.14	$1,318.35	$1,706.10
United Facility/Professional Professional Modifier Low / Median / High Price $654.79 / $818.51 / $1,351.19	Professional		$654.79	$818.51	$1,351.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $929.30 / $929.30 / $929.30	Professional		$929.30	$929.30	$929.30