Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.47 / $2,793.17 / $2,916.21	Facility		$1,230.47	$2,793.17	$2,916.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.64 / $1,230.47 / $2,916.21	Professional		$1,011.64	$1,230.47	$2,916.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,657.97 / $3,605.69 / $9,328.83	Facility		$1,657.97	$3,605.69	$9,328.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,382.22 / $1,663.01 / $10,136.07	Professional		$1,382.22	$1,663.01	$10,136.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,375.24	Facility		$1,375.24	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,375.24	Professional		$1,003.93	$1,003.93	$1,375.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,099.28 / $1,893.45 / $5,002.50	Facility		$1,099.28	$1,893.45	$5,002.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,100.48 / $1,931.32 / $3,708.02	Professional		$1,100.48	$1,931.32	$3,708.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,306.37 / $1,451.53 / $1,596.68	Professional		$1,306.37	$1,451.53	$1,596.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,502.98 / $1,849.07 / $2,023.28	Facility		$1,502.98	$1,849.07	$2,023.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,704.11 / $1,893.45 / $2,023.28	Professional		$1,704.11	$1,893.45	$2,023.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,657.97 / $2,126.42 / $3,698.14	Facility		$1,657.97	$2,126.42	$3,698.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,802.21 / $1,849.07 / $1,849.07	Facility		$1,802.21	$1,849.07	$1,849.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,504.18 / $1,609.43 / $2,082.80	Professional		$1,504.18	$1,609.43	$2,082.80
United Facility/Professional Professional Modifier Low / Median / High Price $871.76 / $1,265.14 / $1,663.20	Professional		$871.76	$1,265.14	$1,663.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,062.60 / $1,062.60 / $1,062.60	Professional		$1,062.60	$1,062.60	$1,062.60