Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,588.29 / $6,019.69 / $7,035.08	Facility		$1,588.29	$6,019.69	$7,035.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,185.40 / $1,588.29 / $3,764.25	Professional		$1,185.40	$1,588.29	$3,764.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,060.85 / $4,481.85 / $9,758.87	Facility		$2,060.85	$4,481.85	$9,758.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.37 / $2,003.51 / $13,813.65	Professional		$1,441.37	$2,003.51	$13,813.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $1,184.20	Facility		$1,184.20	$1,184.20	$1,184.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $864.47 / $1,364.80	Professional		$864.47	$864.47	$1,364.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,110.65 / $2,235.87 / $5,053.12	Facility		$1,110.65	$2,235.87	$5,053.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,111.86 / $2,235.87 / $3,746.09	Professional		$1,111.86	$2,235.87	$3,746.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,623.83 / $1,804.26 / $1,984.68	Professional		$1,623.83	$1,804.26	$1,984.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,868.20 / $2,118.19 / $2,353.55	Facility		$1,868.20	$2,118.19	$2,353.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,116.78 / $2,328.46 / $2,588.91	Professional		$2,116.78	$2,328.46	$2,588.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.85 / $2,643.15 / $4,596.78	Facility		$2,060.85	$2,643.15	$4,596.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,240.15 / $2,298.39 / $2,298.39	Facility		$2,240.15	$2,298.39	$2,298.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,869.70 / $2,000.52 / $2,588.91	Professional		$1,869.70	$2,000.52	$2,588.91
United Facility/Professional Professional Modifier Low / Median / High Price $814.21 / $949.91 / $1,680.11	Professional		$814.21	$949.91	$1,680.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $728.57 / $728.57 / $1,138.79	Professional		$728.57	$728.57	$1,138.79