Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.18 / $2,497.41 / $2,607.42	Facility		$1,100.18	$2,497.41	$2,607.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.43 / $1,100.18 / $2,607.42	Professional		$821.43	$1,100.18	$2,607.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,482.42 / $3,223.92 / $7,733.84	Facility		$1,482.42	$3,223.92	$7,733.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.71 / $1,472.88 / $8,380.20	Professional		$1,054.71	$1,472.88	$8,380.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,232.20	Facility		$1,232.20	$1,232.20	$1,232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $899.51 / $1,232.20	Professional		$899.51	$899.51	$1,232.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $934.11 / $1,692.97 / $4,251.56	Facility		$934.11	$1,692.97	$4,251.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.14 / $1,692.97 / $3,150.29	Professional		$935.14	$1,692.97	$3,150.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,168.04 / $1,297.83 / $1,427.61	Professional		$1,168.04	$1,297.83	$1,427.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,343.83 / $1,642.85 / $1,692.97	Facility		$1,343.83	$1,642.85	$1,692.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,523.67 / $1,692.97 / $1,692.97	Professional		$1,523.67	$1,692.97	$1,692.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,482.42 / $1,901.28 / $3,306.58	Facility		$1,482.42	$1,901.28	$3,306.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,611.39 / $1,653.29 / $1,653.29	Facility		$1,611.39	$1,653.29	$1,653.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,344.90 / $1,439.02 / $1,862.27	Professional		$1,344.90	$1,439.02	$1,862.27
United Facility/Professional Professional Modifier Low / Median / High Price $740.73 / $1,115.80 / $1,413.22	Professional		$740.73	$1,115.80	$1,413.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $788.84 / $788.84 / $902.90	Professional		$788.84	$788.84	$902.90