Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.71 / $2,732.42 / $2,852.79	Facility		$1,203.71	$2,732.42	$2,852.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.86 / $1,203.71 / $2,852.79	Professional		$998.86	$1,203.71	$2,852.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,561.84 / $4,379.32 / $9,370.62	Facility		$1,561.84	$4,379.32	$9,370.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.70 / $1,656.27 / $11,357.28	Professional		$1,288.70	$1,656.27	$11,357.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,395.53	Facility		$1,395.53	$1,395.53	$1,395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $1,395.53	Professional		$1,018.74	$1,018.74	$1,395.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,122.03 / $1,896.35 / $4,887.68	Facility		$1,122.03	$1,896.35	$4,887.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.26 / $1,910.36 / $3,784.98	Professional		$1,123.26	$1,910.36	$3,784.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,230.64 / $1,367.38 / $1,504.11	Professional		$1,230.64	$1,367.38	$1,504.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,415.83 / $1,741.87 / $1,783.67	Facility		$1,415.83	$1,741.87	$1,783.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,605.30 / $1,783.67 / $1,783.67	Professional		$1,605.30	$1,783.67	$1,783.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,561.84 / $2,003.15 / $3,483.74	Facility		$1,561.84	$2,003.15	$3,483.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,697.72 / $1,741.87 / $1,741.87	Facility		$1,697.72	$1,741.87	$1,741.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,416.97 / $1,516.12 / $1,962.04	Professional		$1,416.97	$1,516.12	$1,962.04
United Facility/Professional Professional Modifier Low / Median / High Price $822.74 / $889.85 / $1,697.72	Professional		$822.74	$889.85	$1,697.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $785.81 / $785.81 / $1,086.33	Professional		$785.81	$785.81	$1,086.33