Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.83 / $4,346.66 / $4,538.14	Facility		$1,914.83	$4,346.66	$4,538.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,526.02 / $1,914.83 / $4,538.14	Professional		$1,526.02	$1,914.83	$4,538.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,580.11 / $5,611.13 / $14,058.21	Facility		$2,580.11	$5,611.13	$14,058.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,098.30 / $2,578.59 / $15,199.11	Professional		$2,098.30	$2,578.59	$15,199.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.91 / $1,952.91 / $1,952.91	Facility		$1,952.91	$1,952.91	$1,952.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,425.62 / $1,952.91	Professional		$1,425.62	$1,425.62	$1,952.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,696.69 / $2,946.56 / $7,722.18	Facility		$1,696.69	$2,946.56	$7,722.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.55 / $2,982.08 / $5,722.99	Professional		$1,698.55	$2,982.08	$5,722.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,032.96 / $2,258.85 / $2,484.73	Professional		$2,032.96	$2,258.85	$2,484.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,651.90 / $2,946.56 / $3,052.03	Facility		$2,651.90	$2,946.56	$3,052.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,340.78 / $2,340.78 / $2,340.78	Professional		$2,340.78	$2,340.78	$2,340.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,580.11 / $3,309.12 / $5,755.00	Facility		$2,580.11	$3,309.12	$5,755.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,804.58 / $2,877.50 / $2,877.50	Facility		$2,804.58	$2,877.50	$2,877.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,340.78 / $2,504.58 / $3,241.22	Professional		$2,340.78	$2,504.58	$3,241.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.45 / $2,026.73 / $2,566.94	Professional		$1,345.45	$2,026.73	$2,566.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,647.60 / $2,504.58 / $2,504.58	Professional		$1,647.60	$2,504.58	$2,504.58