Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.19 / $2,102.44 / $2,195.07	Facility		$926.19	$2,102.44	$2,195.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.28 / $926.19 / $2,195.07	Professional		$823.28	$926.19	$2,195.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,201.76 / $2,786.07 / $7,148.16	Facility		$1,201.76	$2,786.07	$7,148.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $991.59 / $1,201.06 / $9,113.04	Professional		$991.59	$1,201.06	$9,113.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $969.19	Facility		$969.19	$969.19	$969.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $707.51 / $969.19	Professional		$707.51	$707.51	$969.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $962.55 / $1,619.37 / $3,760.85	Facility		$962.55	$1,619.37	$3,760.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.55 / $1,581.06 / $2,911.97	Professional		$962.55	$1,581.06	$2,911.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $946.91 / $1,052.13 / $1,157.34	Professional		$946.91	$1,052.13	$1,157.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,089.41 / $1,340.28 / $1,829.93	Facility		$1,089.41	$1,340.28	$1,829.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,235.21 / $1,372.45 / $1,829.93	Professional		$1,235.21	$1,372.45	$1,829.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,201.76 / $1,541.32 / $2,680.56	Facility		$1,201.76	$1,541.32	$2,680.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,306.31 / $1,340.28 / $1,340.28	Facility		$1,306.31	$1,340.28	$1,340.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,090.29 / $1,166.58 / $1,509.70	Professional		$1,090.29	$1,166.58	$1,509.70
United Facility/Professional Professional Modifier Low / Median / High Price $633.05 / $685.82 / $1,306.31	Professional		$633.05	$685.82	$1,306.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $816.05 / $983.97 / $983.97	Professional		$816.05	$983.97	$983.97