Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,284.31 / $3,043.81 / $11,041.72	Facility		$1,284.31	$3,043.81	$11,041.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.26 / $1,284.31 / $2,221.86	Professional		$1,130.26	$1,284.31	$2,221.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,666.43 / $4,215.38 / $10,083.62	Facility		$1,666.43	$4,215.38	$10,083.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.27 / $1,881.89 / $12,143.39	Professional		$1,389.27	$1,881.89	$12,143.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $1,277.46	Facility		$1,277.46	$1,277.46	$1,277.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,314.43	Professional		$932.55	$932.55	$1,314.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,183.91 / $2,015.83 / $5,215.08	Facility		$1,183.91	$2,015.83	$5,215.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.21 / $2,015.83 / $3,993.51	Professional		$1,185.21	$2,015.83	$3,993.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,313.05 / $1,458.95 / $1,604.84	Professional		$1,313.05	$1,458.95	$1,604.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,510.66 / $1,858.51 / $2,338.69	Facility		$1,510.66	$1,858.51	$2,338.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,807.95 / $1,903.11 / $2,338.69	Professional		$1,807.95	$1,903.11	$2,338.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,666.43 / $2,137.29 / $3,717.02	Facility		$1,666.43	$2,137.29	$3,717.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,811.41 / $1,858.51 / $1,858.51	Facility		$1,811.41	$1,858.51	$1,858.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,511.87 / $1,617.64 / $2,093.42	Professional		$1,511.87	$1,617.64	$2,093.42
United Facility/Professional Professional Modifier Low / Median / High Price $868.05 / $940.39 / $1,791.21	Professional		$868.05	$940.39	$1,791.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $780.61 / $780.61 / $1,136.98	Professional		$780.61	$780.61	$1,136.98