Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,534.63 / $3,483.61 / $3,637.07	Facility		$1,534.63	$3,483.61	$3,637.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,319.04 / $1,534.63 / $3,637.07	Professional		$1,319.04	$1,534.63	$3,637.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,991.24 / $4,729.72 / $10,889.80	Facility		$1,991.24	$4,729.72	$10,889.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.40 / $1,990.07 / $11,730.04	Professional		$1,619.40	$1,990.07	$11,730.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $1,300.55	Facility		$1,300.55	$1,300.55	$1,300.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $1,474.81	Professional		$949.40	$949.40	$1,474.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,309.49 / $2,274.06 / $5,958.75	Facility		$1,309.49	$2,274.06	$5,958.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,310.92 / $2,301.53 / $4,416.35	Professional		$1,310.92	$2,301.53	$4,416.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,568.97 / $1,743.30 / $1,917.63	Professional		$1,568.97	$1,743.30	$1,917.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,805.08 / $2,220.76 / $2,355.42	Facility		$1,805.08	$2,220.76	$2,355.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,806.53 / $2,274.06 / $2,501.46	Professional		$1,806.53	$2,274.06	$2,501.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,991.24 / $2,553.87 / $4,441.52	Facility		$1,991.24	$2,553.87	$4,441.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,164.48 / $2,220.76 / $2,220.76	Facility		$2,164.48	$2,220.76	$2,220.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,806.53 / $1,932.95 / $2,501.46	Professional		$1,806.53	$1,932.95	$2,501.46
United Facility/Professional Professional Modifier Low / Median / High Price $960.05 / $1,200.07 / $1,981.07	Professional		$960.05	$1,200.07	$1,981.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,250.07 / $1,256.29 / $1,256.29	Professional		$1,250.07	$1,256.29	$1,256.29