Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,339.38 / $5,310.39 / $5,544.33	Facility		$2,339.38	$5,310.39	$5,544.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,573.44 / $2,339.38 / $5,544.33	Professional		$1,573.44	$2,339.38	$5,544.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,152.16 / $6,855.21 / $15,230.69	Facility		$3,152.16	$6,855.21	$15,230.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,284.38 / $3,073.12 / $17,819.31	Professional		$2,284.38	$3,073.12	$17,819.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $1,784.15	Facility		$1,784.15	$1,784.15	$1,784.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $1,784.15	Professional		$1,302.43	$1,302.43	$1,784.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,796.34 / $3,426.49 / $8,175.93	Facility		$1,796.34	$3,426.49	$8,175.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,798.31 / $3,419.87 / $6,058.95	Professional		$1,798.31	$3,419.87	$6,058.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,483.70 / $2,759.67 / $3,035.63	Professional		$2,483.70	$2,759.67	$3,035.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,857.48 / $3,239.87 / $3,599.86	Facility		$2,857.48	$3,239.87	$3,599.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,859.76 / $3,599.86 / $3,959.85	Professional		$2,859.76	$3,599.86	$3,959.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,152.16 / $4,042.81 / $7,030.98	Facility		$3,152.16	$4,042.81	$7,030.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,426.40 / $3,515.49 / $3,515.49	Facility		$3,426.40	$3,515.49	$3,515.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,859.76 / $3,059.88 / $3,959.85	Professional		$2,859.76	$3,059.88	$3,959.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,424.47 / $2,145.77 / $2,717.71	Professional		$1,424.47	$2,145.77	$2,717.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,321.83 / $1,321.83 / $1,744.37	Professional		$1,321.83	$1,321.83	$1,744.37