Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.75 / $2,843.74 / $2,969.02	Facility		$1,252.75	$2,843.74	$2,969.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.77 / $1,252.75 / $2,969.02	Professional		$946.77	$1,252.75	$2,969.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,688.00 / $3,671.01 / $9,687.79	Facility		$1,688.00	$3,671.01	$9,687.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,388.87 / $1,715.04 / $11,956.97	Professional		$1,388.87	$1,715.04	$11,956.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $1,349.13	Facility		$1,349.13	$1,349.13	$1,349.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $1,349.13	Professional		$984.86	$984.86	$1,349.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,139.77 / $1,940.74 / $5,187.18	Facility		$1,139.77	$1,940.74	$5,187.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.02 / $1,966.30 / $3,844.56	Professional		$1,141.02	$1,966.30	$3,844.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,330.02 / $1,477.81 / $1,625.59	Professional		$1,330.02	$1,477.81	$1,625.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,734.98 / $1,882.57 / $1,927.75	Facility		$1,734.98	$1,882.57	$1,927.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,688.00 / $2,164.96 / $3,765.14	Facility		$1,688.00	$2,164.96	$3,765.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,834.86 / $1,882.57 / $1,882.57	Facility		$1,834.86	$1,882.57	$1,882.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,531.41 / $1,638.59 / $2,120.53	Professional		$1,531.41	$1,638.59	$2,120.53
United Facility/Professional Professional Modifier Low / Median / High Price $903.82 / $1,355.72 / $1,724.37	Professional		$903.82	$1,355.72	$1,724.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $698.38 / $698.38 / $1,106.79	Professional		$698.38	$698.38	$1,106.79