Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.33 / $2,404.69 / $2,510.64	Facility		$1,059.33	$2,404.69	$2,510.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.43 / $1,059.33 / $2,510.64	Professional		$991.43	$1,059.33	$2,510.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,427.39 / $3,104.22 / $8,447.07	Facility		$1,427.39	$3,104.22	$8,447.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.99 / $1,454.89 / $10,758.78	Professional		$1,189.99	$1,454.89	$10,758.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $1,018.60	Facility		$1,018.60	$1,018.60	$1,018.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $1,122.67	Professional		$743.58	$743.58	$1,122.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,025.57 / $1,733.32 / $4,466.93	Facility		$1,025.57	$1,733.32	$4,466.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,026.69 / $1,745.82 / $3,459.77	Professional		$1,026.69	$1,745.82	$3,459.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,124.70 / $1,249.67 / $1,374.63	Professional		$1,124.70	$1,249.67	$1,374.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,293.95 / $1,591.91 / $2,140.48	Facility		$1,293.95	$1,591.91	$2,140.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,467.11 / $1,630.12 / $2,140.48	Professional		$1,467.11	$1,630.12	$2,140.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,427.39 / $1,830.70 / $3,183.82	Facility		$1,427.39	$1,830.70	$3,183.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,551.57 / $1,591.91 / $1,591.91	Facility		$1,551.57	$1,591.91	$1,591.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,294.99 / $1,385.60 / $1,793.13	Professional		$1,294.99	$1,385.60	$1,793.13
United Facility/Professional Professional Modifier Low / Median / High Price $813.25 / $1,166.71 / $1,551.57	Professional		$813.25	$1,166.71	$1,551.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $520.41 / $520.41 / $979.06	Professional		$520.41	$520.41	$979.06