Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,008.50 / $6,829.29 / $7,130.14	Facility		$3,008.50	$6,829.29	$7,130.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.13 / $3,008.50 / $7,130.14	Professional		$1,821.13	$3,008.50	$7,130.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,053.76 / $8,815.96 / $18,963.50	Facility		$4,053.76	$8,815.96	$18,963.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,847.63 / $3,935.08 / $23,310.48	Professional		$2,847.63	$3,935.08	$23,310.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $3,141.52	Facility		$3,141.52	$3,141.52	$3,141.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $2,293.31 / $3,141.52	Professional		$2,293.31	$2,293.31	$3,141.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,291.38 / $4,398.03 / $10,428.75	Facility		$2,291.38	$4,398.03	$10,428.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,293.89 / $4,398.03 / $7,728.85	Professional		$2,293.89	$4,398.03	$7,728.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,194.10 / $3,549.01 / $3,903.91	Professional		$3,194.10	$3,549.01	$3,903.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,556.90 / $4,521.01 / $4,629.51	Facility		$3,556.90	$4,521.01	$4,629.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,053.76 / $5,199.16 / $9,042.02	Facility		$4,053.76	$5,199.16	$9,042.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,406.43 / $4,521.01 / $4,521.01	Facility		$4,406.43	$4,521.01	$4,521.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,677.73 / $3,935.08 / $5,092.46	Professional		$3,677.73	$3,935.08	$5,092.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,817.08 / $2,737.18 / $3,466.76	Professional		$1,817.08	$2,737.18	$3,466.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,029.58 / $2,029.58 / $2,225.15	Professional		$2,029.58	$2,029.58	$2,225.15