Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,529.66 / $3,472.33 / $3,625.29	Facility		$1,529.66	$3,472.33	$3,625.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.01 / $1,529.66 / $3,625.29	Professional		$1,219.01	$1,529.66	$3,625.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,061.12 / $4,482.45 / $11,271.87	Facility		$2,061.12	$4,482.45	$11,271.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.21 / $2,059.91 / $12,141.34	Professional		$1,676.21	$2,059.91	$12,141.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $1,346.19	Facility		$1,346.19	$1,346.19	$1,346.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $982.72 / $1,346.19	Professional		$982.72	$982.72	$1,346.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,355.44 / $2,353.86 / $6,167.81	Facility		$1,355.44	$2,353.86	$6,167.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,356.93 / $2,382.30 / $4,571.93	Professional		$1,356.93	$2,382.30	$4,571.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,624.03 / $1,804.48 / $1,984.92	Professional		$1,624.03	$1,804.48	$1,984.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,868.44 / $2,298.69 / $2,438.02	Facility		$1,868.44	$2,298.69	$2,438.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,118.46 / $2,353.86 / $2,681.82	Professional		$2,118.46	$2,353.86	$2,681.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,061.12 / $2,643.49 / $4,597.38	Facility		$2,061.12	$2,643.49	$4,597.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,240.44 / $2,298.69 / $2,298.69	Facility		$2,240.44	$2,298.69	$2,298.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,869.93 / $2,000.78 / $2,589.25	Professional		$1,869.93	$2,000.78	$2,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.80 / $1,617.42 / $2,050.58	Professional		$1,074.80	$1,617.42	$2,050.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,300.34 / $1,300.34 / $1,448.96	Professional		$1,300.34	$1,300.34	$1,448.96