Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,433.68 / $3,254.45 / $3,397.82	Facility		$1,433.68	$3,254.45	$3,397.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.03 / $1,433.68 / $3,397.82	Professional		$841.03	$1,433.68	$3,397.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,931.79 / $4,201.18 / $8,775.70	Facility		$1,931.79	$4,201.18	$8,775.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.49 / $1,875.24 / $12,282.35	Professional		$1,276.49	$1,875.24	$12,282.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,427.14	Facility		$1,427.14	$1,427.14	$1,427.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,427.14	Professional		$1,041.81	$1,041.81	$1,427.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,041.04 / $2,095.85 / $4,738.12	Facility		$1,041.04	$2,095.85	$4,738.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,042.18 / $2,095.85 / $3,510.25	Professional		$1,042.18	$2,095.85	$3,510.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,522.13 / $1,691.26 / $1,860.38	Professional		$1,522.13	$1,691.26	$1,860.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,642.64 / $1,899.37 / $2,206.16	Facility		$1,642.64	$1,899.37	$2,206.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,682.06 / $1,985.54 / $2,206.16	Professional		$1,682.06	$1,985.54	$2,206.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,931.79 / $2,477.62 / $4,308.89	Facility		$1,931.79	$2,477.62	$4,308.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,099.86 / $2,154.44 / $2,154.44	Facility		$2,099.86	$2,154.44	$2,154.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,752.60 / $1,875.24 / $2,426.78	Professional		$1,752.60	$1,875.24	$2,426.78
United Facility/Professional Professional Modifier Low / Median / High Price $825.47 / $1,243.74 / $1,574.89	Professional		$825.47	$1,243.74	$1,574.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $684.85 / $684.85 / $1,006.20	Professional		$684.85	$684.85	$1,006.20