Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.82 / $3,670.18 / $3,831.86	Facility		$1,616.82	$3,670.18	$3,831.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.69 / $1,616.82 / $3,831.86	Professional		$1,017.69	$1,616.82	$3,831.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.55 / $4,737.82 / $11,043.30	Facility		$2,178.55	$4,737.82	$11,043.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.19 / $2,137.44 / $14,318.42	Professional		$1,615.19	$2,137.44	$14,318.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $1,271.83	Facility		$1,271.83	$1,271.83	$1,271.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $928.44 / $1,271.83	Professional		$928.44	$928.44	$1,271.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,280.36 / $2,442.42 / $5,827.50	Facility		$1,280.36	$2,442.42	$5,827.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,281.77 / $2,383.77 / $4,318.72	Professional		$1,281.77	$2,383.77	$4,318.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,716.56 / $1,907.29 / $2,098.01	Professional		$1,716.56	$1,907.29	$2,098.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,974.89 / $2,238.92 / $2,487.96	Facility		$1,974.89	$2,238.92	$2,487.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,974.89 / $2,239.16 / $2,487.96	Professional		$1,974.89	$2,239.16	$2,487.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,178.55 / $2,794.10 / $4,859.30	Facility		$2,178.55	$2,794.10	$4,859.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,368.08 / $2,429.65 / $2,429.65	Facility		$2,368.08	$2,429.65	$2,429.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,976.47 / $2,114.77 / $2,736.76	Professional		$1,976.47	$2,114.77	$2,736.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.43 / $1,529.60 / $1,937.31	Professional		$1,015.43	$1,529.60	$1,937.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $780.61 / $780.61 / $1,243.47	Professional		$780.61	$780.61	$1,243.47