Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.66 / $2,546.17 / $2,658.33	Facility		$1,121.66	$2,546.17	$2,658.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.01 / $1,121.66 / $2,658.33	Professional		$863.01	$1,121.66	$2,658.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,511.35 / $3,438.56 / $9,329.16	Facility		$1,511.35	$3,438.56	$9,329.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,259.99 / $1,633.95 / $11,391.63	Professional		$1,259.99	$1,633.95	$11,391.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $1,232.72	Facility		$1,232.72	$1,232.72	$1,232.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $899.89 / $1,232.72	Professional		$899.89	$899.89	$1,232.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,086.08 / $1,835.60 / $4,729.71	Facility		$1,086.08	$1,835.60	$4,729.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,087.27 / $1,848.76 / $3,662.51	Professional		$1,087.27	$1,848.76	$3,662.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,190.85 / $1,323.17 / $1,455.48	Professional		$1,190.85	$1,323.17	$1,455.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,370.06 / $1,685.55 / $1,726.01	Facility		$1,370.06	$1,685.55	$1,726.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,370.06 / $1,726.01 / $1,726.01	Professional		$1,370.06	$1,726.01	$1,726.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,511.35 / $1,938.38 / $3,371.10	Facility		$1,511.35	$1,938.38	$3,371.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,642.84 / $1,685.55 / $1,685.55	Facility		$1,642.84	$1,685.55	$1,685.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,371.16 / $1,467.11 / $1,898.61	Professional		$1,371.16	$1,467.11	$1,898.61
United Facility/Professional Professional Modifier Low / Median / High Price $861.09 / $1,291.64 / $1,642.84	Professional		$861.09	$1,291.64	$1,642.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,054.47 / $1,054.47 / $1,054.47	Professional		$1,054.47	$1,054.47	$1,054.47