Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,417.42 / $5,487.57 / $5,729.31	Facility		$2,417.42	$5,487.57	$5,729.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,930.43 / $2,417.42 / $5,729.31	Professional		$1,930.43	$2,417.42	$5,729.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,257.33 / $6,357.37 / $17,752.32	Facility		$3,257.33	$6,357.37	$17,752.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,845.77 / $3,285.23 / $19,227.03	Professional		$2,845.77	$3,285.23	$19,227.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $2,381.07	Facility		$2,381.07	$2,381.07	$2,381.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,738.18 / $2,381.07	Professional		$1,738.18	$1,738.18	$2,381.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,707.54 / $4,232.07 / $10,598.08	Facility		$2,707.54	$4,232.07	$10,598.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,707.54 / $4,232.07 / $7,341.02	Professional		$2,707.54	$4,232.07	$7,341.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $3,719.97 / $3,719.97	Professional		$60.00	$3,719.97	$3,719.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,632.78 / $3,719.97 / $3,860.85	Facility		$3,632.78	$3,719.97	$3,860.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,087.86 / $3,257.33 / $7,083.92	Facility		$3,087.86	$3,257.33	$7,083.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,087.86 / $3,363.68 / $4,177.70	Professional		$3,087.86	$3,363.68	$4,177.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,540.72 / $3,632.78 / $3,632.78	Facility		$3,540.72	$3,632.78	$3,632.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,955.19 / $3,161.97 / $4,091.97	Professional		$2,955.19	$3,161.97	$4,091.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,699.03 / $2,618.15 / $3,241.53	Professional		$1,699.03	$2,618.15	$3,241.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,053.24 / $3,161.97 / $3,161.97	Professional		$3,053.24	$3,161.97	$3,161.97