Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.06 / $2,367.75 / $2,472.05	Facility		$1,043.06	$2,367.75	$2,472.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.49 / $1,043.06 / $2,472.05	Professional		$736.49	$1,043.06	$2,472.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,405.46 / $3,235.76 / $7,563.25	Facility		$1,405.46	$3,235.76	$7,563.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,135.09 / $1,438.46 / $9,141.89	Professional		$1,135.09	$1,438.46	$9,141.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $902.63	Facility		$902.63	$902.63	$902.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $658.92 / $902.63	Professional		$658.92	$658.92	$902.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $1,605.08 / $4,136.25	Facility		$908.63	$1,605.08	$4,136.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $909.63 / $1,605.08 / $3,065.06	Professional		$909.63	$1,605.08	$3,065.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,107.41 / $1,230.46 / $1,353.50	Professional		$1,107.41	$1,230.46	$1,353.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,274.08 / $1,472.98 / $1,605.08	Facility		$1,274.08	$1,472.98	$1,605.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,444.57 / $1,605.08 / $1,605.08	Professional		$1,444.57	$1,605.08	$1,605.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,405.46 / $1,802.58 / $3,134.92	Facility		$1,405.46	$1,802.58	$3,134.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,527.74 / $1,567.46 / $1,567.46	Facility		$1,527.74	$1,567.46	$1,567.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,275.08 / $1,364.32 / $1,765.59	Professional		$1,275.08	$1,364.32	$1,765.59
United Facility/Professional Professional Modifier Low / Median / High Price $720.66 / $1,080.99 / $1,374.93	Professional		$720.66	$1,080.99	$1,374.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $728.57 / $728.57 / $878.44	Professional		$728.57	$728.57	$878.44