Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,130.40 / $7,106.01 / $7,419.05	Facility		$3,130.40	$7,106.01	$7,419.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,494.73 / $3,130.40 / $7,419.05	Professional		$2,494.73	$3,130.40	$7,419.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,218.01 / $9,173.17 / $22,982.54	Facility		$4,218.01	$9,173.17	$22,982.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,430.34 / $4,215.53 / $24,847.51	Professional		$3,430.34	$4,215.53	$24,847.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $2,801.20	Facility		$2,801.20	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $3,124.05	Professional		$2,044.88	$2,044.88	$3,124.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,774.13 / $4,817.09 / $12,623.43	Facility		$2,774.13	$4,817.09	$12,623.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,777.18 / $4,875.77 / $9,354.87	Professional		$2,777.18	$4,875.77	$9,354.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,323.52 / $3,692.81 / $4,062.09	Professional		$3,323.52	$3,692.81	$4,062.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,335.38 / $4,817.09 / $5,057.93	Facility		$4,335.38	$4,817.09	$5,057.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,218.01 / $5,409.82 / $9,408.37	Facility		$4,218.01	$5,409.82	$9,408.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,584.97 / $4,704.18 / $4,704.18	Facility		$4,584.97	$4,704.18	$4,704.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,826.75 / $4,094.53 / $5,298.80	Professional		$3,826.75	$4,094.53	$5,298.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,199.56 / $3,218.65 / $4,196.47	Professional		$2,199.56	$3,218.65	$4,196.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $536.50 / $536.50 / $4,094.53	Professional		$536.50	$536.50	$4,094.53