Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,415.03 / $5,482.12 / $5,723.62	Facility		$2,415.03	$5,482.12	$5,723.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,924.66 / $2,415.03 / $5,723.62	Professional		$1,924.66	$2,415.03	$5,723.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,254.10 / $7,076.90 / $17,730.55	Facility		$3,254.10	$7,076.90	$17,730.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.44 / $3,233.16 / $19,169.56	Professional		$2,646.44	$3,233.16	$19,169.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $2,463.07	Facility		$2,463.07	$2,463.07	$2,463.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $1,798.04 / $2,463.07	Professional		$1,798.04	$1,798.04	$2,463.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,139.86 / $3,716.28 / $9,737.81	Facility		$2,139.86	$3,716.28	$9,737.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,142.21 / $3,760.98 / $7,217.45	Professional		$2,142.21	$3,760.98	$7,217.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,564.03 / $2,848.93 / $3,133.82	Professional		$2,564.03	$2,848.93	$3,133.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,344.65 / $3,716.28 / $3,849.31	Facility		$3,344.65	$3,716.28	$3,849.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,254.10 / $4,173.56 / $7,258.36	Facility		$3,254.10	$4,173.56	$7,258.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,537.21 / $3,629.18 / $3,629.18	Facility		$3,537.21	$3,629.18	$3,629.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,952.26 / $3,158.84 / $4,087.91	Professional		$2,952.26	$3,158.84	$4,087.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.91 / $2,545.36 / $3,237.49	Professional		$1,696.91	$2,545.36	$3,237.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,068.50 / $3,158.84 / $3,158.84	Professional		$2,068.50	$3,158.84	$3,158.84