Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,071.75 / $4,702.87 / $4,910.05	Facility		$2,071.75	$4,702.87	$4,910.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.03 / $2,071.75 / $4,910.05	Professional		$1,609.03	$2,071.75	$4,910.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,791.55 / $6,070.94 / $13,558.52	Facility		$2,791.55	$6,070.94	$13,558.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.06 / $2,741.70 / $16,025.89	Professional		$2,022.06	$2,741.70	$16,025.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $1,552.76	Facility		$1,552.76	$1,552.76	$1,552.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $1,921.87	Professional		$1,133.51	$1,133.51	$1,921.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,563.38 / $3,028.62 / $7,115.62	Facility		$1,563.38	$3,028.62	$7,115.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,565.09 / $3,028.62 / $5,272.83	Professional		$1,565.09	$3,028.62	$5,272.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,199.57 / $2,443.96 / $2,688.36	Professional		$2,199.57	$2,443.96	$2,688.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,869.22 / $3,142.63 / $3,218.05	Facility		$2,869.22	$3,142.63	$3,218.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,791.55 / $3,580.30 / $6,226.60	Facility		$2,791.55	$3,580.30	$6,226.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,034.41 / $3,113.30 / $3,113.30	Facility		$3,034.41	$3,113.30	$3,113.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,532.61 / $2,709.82 / $3,506.82	Professional		$2,532.61	$2,709.82	$3,506.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,239.72 / $1,859.58 / $2,365.23	Professional		$1,239.72	$1,859.58	$2,365.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $987.73 / $987.73 / $1,518.14	Professional		$987.73	$987.73	$1,518.14