Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.68 / $2,834.50 / $2,959.37	Facility		$1,248.68	$2,834.50	$2,959.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.44 / $1,248.68 / $2,959.37	Professional		$963.44	$1,248.68	$2,959.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,620.20 / $4,271.89 / $9,141.02	Facility		$1,620.20	$4,271.89	$9,141.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,340.89 / $1,620.20 / $13,504.73	Professional		$1,340.89	$1,620.20	$13,504.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,212.63	Facility		$1,212.63	$1,212.63	$1,212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $1,212.63	Professional		$885.22	$885.22	$1,212.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,082.44 / $1,850.32 / $4,925.62	Facility		$1,082.44	$1,850.32	$4,925.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.63 / $1,887.33 / $3,650.93	Professional		$1,083.63	$1,887.33	$3,650.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,276.61 / $1,418.46 / $1,560.30	Professional		$1,276.61	$1,418.46	$1,560.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,468.74 / $1,720.43 / $1,850.32	Facility		$1,468.74	$1,720.43	$1,850.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,665.29 / $1,850.32 / $1,850.32	Professional		$1,665.29	$1,850.32	$1,850.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,620.20 / $2,077.98 / $3,613.90	Facility		$1,620.20	$2,077.98	$3,613.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,761.16 / $1,806.95 / $1,806.95	Facility		$1,761.16	$1,806.95	$1,806.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,469.91 / $1,572.77 / $2,035.35	Professional		$1,469.91	$1,572.77	$2,035.35
United Facility/Professional Professional Modifier Low / Median / High Price $793.57 / $859.70 / $1,637.53	Professional		$793.57	$859.70	$1,637.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $970.03 / $970.03 / $1,047.83	Professional		$970.03	$970.03	$1,047.83