Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.24 / $2,300.05 / $2,401.38	Facility		$1,013.24	$2,300.05	$2,401.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.49 / $1,013.24 / $2,401.38	Professional		$807.49	$1,013.24	$2,401.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,365.28 / $2,592.88 / $7,438.91	Facility		$1,365.28	$2,592.88	$7,438.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.61 / $1,376.97 / $8,042.55	Professional		$1,122.61	$1,376.97	$8,042.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $891.71	Facility		$891.71	$891.71	$891.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $650.95 / $891.71	Professional		$650.95	$650.95	$891.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $947.04 / $1,617.26 / $4,272.58	Facility		$947.04	$1,617.26	$4,272.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.68 / $1,643.69 / $3,027.82	Professional		$1,000.68	$1,643.69	$3,027.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,075.75 / $1,195.28 / $1,314.80	Professional		$1,075.75	$1,195.28	$1,314.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,481.23 / $1,559.19 / $1,715.11	Facility		$1,481.23	$1,559.19	$1,715.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,238.63 / $1,238.63 / $1,238.63	Professional		$1,238.63	$1,238.63	$1,238.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,294.25 / $1,365.28 / $2,969.17	Facility		$1,294.25	$1,365.28	$2,969.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.25 / $1,409.86 / $1,751.05	Professional		$1,294.25	$1,409.86	$1,751.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,484.06 / $1,522.65 / $1,522.65	Facility		$1,484.06	$1,522.65	$1,522.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,238.63 / $1,325.31 / $1,715.11	Professional		$1,238.63	$1,325.31	$1,715.11
United Facility/Professional Professional Modifier Low / Median / High Price $711.94 / $1,072.44 / $1,358.30	Professional		$711.94	$1,072.44	$1,358.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $871.83 / $1,325.31 / $1,325.31	Professional		$871.83	$1,325.31	$1,325.31