Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.81 / $3,136.71 / $3,274.89	Facility		$1,381.81	$3,136.71	$3,274.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.38 / $1,381.81 / $3,274.89	Professional		$797.38	$1,381.81	$3,274.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,861.90 / $4,049.17 / $8,461.77	Facility		$1,861.90	$4,049.17	$8,461.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.69 / $1,807.39 / $11,850.71	Professional		$1,252.69	$1,807.39	$11,850.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,020.64	Facility		$1,020.64	$1,020.64	$1,020.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $745.07 / $1,020.64	Professional		$745.07	$745.07	$1,020.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,003.27 / $2,020.02 / $4,565.62	Facility		$1,003.27	$2,020.02	$4,565.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.37 / $2,020.02 / $3,383.64	Professional		$1,004.37	$2,020.02	$3,383.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,467.05 / $1,630.06 / $1,793.06	Professional		$1,467.05	$1,630.06	$1,793.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,557.38 / $1,807.39 / $2,126.34	Facility		$1,557.38	$1,807.39	$2,126.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,594.75 / $1,913.71 / $2,126.34	Professional		$1,594.75	$1,913.71	$2,126.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.90 / $2,387.98 / $4,153.00	Facility		$1,861.90	$2,387.98	$4,153.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,023.88 / $2,076.50 / $2,076.50	Facility		$2,023.88	$2,076.50	$2,076.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,689.18 / $1,807.39 / $2,338.96	Professional		$1,689.18	$1,807.39	$2,338.96
United Facility/Professional Professional Modifier Low / Median / High Price $795.61 / $1,198.46 / $1,517.91	Professional		$795.61	$1,198.46	$1,517.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $684.85 / $684.85 / $957.82	Professional		$684.85	$684.85	$957.82