Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.54 / $3,265.49 / $3,409.34	Facility		$1,438.54	$3,265.49	$3,409.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.71 / $1,438.54 / $3,409.34	Professional		$1,278.71	$1,438.54	$3,409.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,866.55 / $4,390.67 / $10,269.56	Facility		$1,866.55	$4,390.67	$10,269.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.62 / $1,866.55 / $12,333.02	Professional		$1,483.62	$1,866.55	$12,333.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $1,399.15	Facility		$1,399.15	$1,399.15	$1,399.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,021.38 / $1,399.15	Professional		$1,021.38	$1,021.38	$1,399.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,218.49 / $2,131.65 / $5,544.37	Facility		$1,218.49	$2,131.65	$5,544.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.82 / $2,141.59 / $4,109.35	Professional		$1,219.82	$2,141.59	$4,109.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,470.73 / $1,634.15 / $1,797.56	Professional		$1,470.73	$1,634.15	$1,797.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,692.06 / $2,081.69 / $2,476.51	Facility		$1,692.06	$2,081.69	$2,476.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,918.49 / $2,131.65 / $2,476.51	Professional		$1,918.49	$2,131.65	$2,476.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,866.55 / $2,393.94 / $4,163.38	Facility		$1,866.55	$2,393.94	$4,163.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,028.94 / $2,081.69 / $2,081.69	Facility		$2,028.94	$2,081.69	$2,081.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,693.42 / $1,811.90 / $2,344.82	Professional		$1,693.42	$1,811.90	$2,344.82
United Facility/Professional Professional Modifier Low / Median / High Price $893.22 / $1,042.08 / $1,843.15	Professional		$893.22	$1,042.08	$1,843.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $832.65 / $832.65 / $1,133.98	Professional		$832.65	$832.65	$1,133.98