Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.40 / $3,844.02 / $4,013.36	Facility		$1,693.40	$3,844.02	$4,013.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.82 / $1,693.40 / $4,013.36	Professional		$1,226.82	$1,693.40	$4,013.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,281.75 / $5,041.38 / $12,107.67	Facility		$2,281.75	$5,041.38	$12,107.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,815.57 / $2,320.42 / $14,545.68	Professional		$1,815.57	$2,320.42	$14,545.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $1,424.68	Facility		$1,424.68	$1,424.68	$1,424.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $1,899.48	Professional		$1,040.02	$1,040.02	$1,899.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,434.61 / $2,605.82 / $6,527.81	Facility		$1,434.61	$2,605.82	$6,527.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,436.19 / $2,605.82 / $4,838.39	Professional		$1,436.19	$2,605.82	$4,838.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,797.88 / $1,997.65 / $2,197.41	Professional		$1,797.88	$1,997.65	$2,197.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,068.44 / $2,453.64 / $2,605.82	Facility		$2,068.44	$2,453.64	$2,605.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,070.10 / $2,605.82 / $2,605.82	Professional		$2,070.10	$2,605.82	$2,605.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,281.75 / $2,926.46 / $5,089.50	Facility		$2,281.75	$2,926.46	$5,089.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,480.26 / $2,544.75 / $2,544.75	Facility		$2,480.26	$2,544.75	$2,544.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,070.10 / $2,214.94 / $2,866.40	Professional		$2,070.10	$2,214.94	$2,866.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.47 / $1,706.20 / $2,170.14	Professional		$1,137.47	$1,706.20	$2,170.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,087.65 / $1,087.65 / $1,369.38	Professional		$1,087.65	$1,087.65	$1,369.38