Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.10 / $3,123.75 / $3,261.36	Facility		$1,376.10	$3,123.75	$3,261.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.89 / $1,376.10 / $3,261.36	Professional		$1,287.89	$1,376.10	$3,261.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,854.21 / $3,925.61 / $10,120.69	Facility		$1,854.21	$3,925.61	$10,120.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.47 / $1,854.21 / $12,840.43	Professional		$1,510.47	$1,854.21	$12,840.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $1,226.77	Facility		$1,226.77	$1,226.77	$1,226.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $895.54 / $1,226.77	Professional		$895.54	$895.54	$1,226.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,216.67 / $2,117.56 / $5,536.87	Facility		$1,216.67	$2,117.56	$5,536.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $2,138.39 / $4,103.57	Professional		$1,218.00	$2,138.39	$4,103.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,460.99 / $1,623.33 / $1,785.66	Professional		$1,460.99	$1,623.33	$1,785.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,680.86 / $2,067.92 / $2,578.40	Facility		$1,680.86	$2,067.92	$2,578.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,905.80 / $2,117.56 / $2,578.40	Professional		$1,905.80	$2,117.56	$2,578.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,854.21 / $2,378.12 / $4,135.85	Facility		$1,854.21	$2,378.12	$4,135.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,015.53 / $2,067.92 / $2,067.92	Facility		$2,015.53	$2,067.92	$2,067.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,682.21 / $1,799.93 / $2,329.32	Professional		$1,682.21	$1,799.93	$2,329.32
United Facility/Professional Professional Modifier Low / Median / High Price $964.75 / $1,447.13 / $1,840.62	Professional		$964.75	$1,447.13	$1,840.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $988.77 / $988.77 / $1,168.71	Professional		$988.77	$988.77	$1,168.71