Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.90 / $2,392.35 / $2,497.73	Facility		$1,053.90	$2,392.35	$2,497.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.33 / $1,053.90 / $2,497.73	Professional		$831.33	$1,053.90	$2,497.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,367.47 / $4,164.45 / $7,860.20	Facility		$1,367.47	$4,164.45	$7,860.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.03 / $1,367.47 / $13,164.93	Professional		$1,140.03	$1,367.47	$13,164.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,149.77	Facility		$1,149.77	$1,149.77	$1,149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $839.33 / $1,149.77	Professional		$839.33	$839.33	$1,149.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $934.11 / $1,590.56 / $4,249.68	Facility		$934.11	$1,590.56	$4,249.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.14 / $1,592.92 / $3,150.29	Professional		$935.14	$1,592.92	$3,150.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,077.48 / $1,197.20 / $1,316.92	Professional		$1,077.48	$1,197.20	$1,316.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.64 / $1,484.52 / $1,561.69	Facility		$1,239.64	$1,484.52	$1,561.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,405.52 / $1,561.69 / $1,561.69	Professional		$1,405.52	$1,561.69	$1,561.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,367.47 / $1,753.85 / $3,050.18	Facility		$1,367.47	$1,753.85	$3,050.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,486.44 / $1,525.09 / $1,525.09	Facility		$1,486.44	$1,525.09	$1,525.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,240.61 / $1,327.44 / $1,717.86	Professional		$1,240.61	$1,327.44	$1,717.86
United Facility/Professional Professional Modifier Low / Median / High Price $684.76 / $741.82 / $1,412.99	Professional		$684.76	$741.82	$1,412.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $895.10 / $895.10 / $904.15	Professional		$895.10	$895.10	$904.15