Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,490.76 / $5,654.03 / $5,903.10	Facility		$2,490.76	$5,654.03	$5,903.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,985.01 / $2,490.76 / $5,903.10	Professional		$1,985.01	$2,490.76	$5,903.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,356.14 / $7,298.79 / $18,286.54	Facility		$3,356.14	$7,298.79	$18,286.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,729.41 / $3,296.21 / $19,770.65	Professional		$2,729.41	$3,296.21	$19,770.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $2,540.30	Facility		$2,540.30	$2,540.30	$2,540.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $1,854.42 / $2,540.30	Professional		$1,854.42	$1,854.42	$2,540.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,207.19 / $3,832.80 / $10,043.43	Facility		$2,207.19	$3,832.80	$10,043.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,209.63 / $3,879.34 / $7,444.19	Professional		$2,209.63	$3,879.34	$7,444.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,644.43 / $2,938.26 / $3,232.08	Professional		$2,644.43	$2,938.26	$3,232.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,449.52 / $3,832.80 / $4,216.08	Facility		$3,449.52	$3,832.80	$4,216.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,356.14 / $4,304.42 / $7,485.94	Facility		$3,356.14	$4,304.42	$7,485.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,648.12 / $3,742.97 / $3,742.97	Facility		$3,648.12	$3,742.97	$3,742.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,044.83 / $3,257.88 / $4,216.08	Professional		$3,044.83	$3,257.88	$4,216.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,750.12 / $2,625.18 / $3,339.00	Professional		$1,750.12	$2,625.18	$3,339.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,143.16 / $3,257.88 / $3,257.88	Professional		$2,143.16	$3,257.88	$3,257.88