Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.47 / $3,040.60 / $3,174.54	Facility		$1,339.47	$3,040.60	$3,174.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.64 / $1,339.47 / $3,174.54	Professional		$1,190.64	$1,339.47	$3,174.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,738.01 / $4,725.78 / $9,312.17	Facility		$1,738.01	$4,725.78	$9,312.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.70 / $1,738.01 / $11,304.00	Professional		$1,399.70	$1,738.01	$11,304.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,107.01	Facility		$1,107.01	$1,107.01	$1,107.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $808.12 / $1,499.62	Professional		$808.12	$808.12	$1,499.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,114.75 / $1,984.86 / $5,072.81	Facility		$1,114.75	$1,984.86	$5,072.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,115.97 / $1,984.86 / $3,759.33	Professional		$1,115.97	$1,984.86	$3,759.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,369.44 / $1,521.61 / $1,673.77	Professional		$1,369.44	$1,521.61	$1,673.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,575.54 / $1,938.34 / $2,269.88	Facility		$1,575.54	$1,938.34	$2,269.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,786.37 / $1,984.86 / $2,269.88	Professional		$1,786.37	$1,984.86	$2,269.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,738.01 / $2,229.09 / $3,876.68	Facility		$1,738.01	$2,229.09	$3,876.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,889.22 / $1,938.34 / $1,938.34	Facility		$1,889.22	$1,938.34	$1,938.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,576.80 / $1,687.13 / $2,183.35	Professional		$1,576.80	$1,687.13	$2,183.35
United Facility/Professional Professional Modifier Low / Median / High Price $817.18 / $953.38 / $1,686.25	Professional		$817.18	$953.38	$1,686.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $975.76 / $975.76 / $1,687.13	Professional		$975.76	$975.76	$1,687.13