Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,374.55 / $5,390.23 / $5,627.68	Facility		$2,374.55	$5,390.23	$5,627.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,892.41 / $2,374.55 / $5,627.68	Professional		$1,892.41	$2,374.55	$5,627.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,199.56 / $6,958.28 / $17,433.41	Facility		$3,199.56	$6,958.28	$17,433.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.08 / $3,197.68 / $18,848.34	Professional		$2,602.08	$3,197.68	$18,848.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $2,264.80	Facility		$2,264.80	$2,264.80	$2,264.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $1,653.30 / $2,264.80	Professional		$1,653.30	$1,653.30	$2,264.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,104.37 / $3,653.99 / $9,575.62	Facility		$2,104.37	$3,653.99	$9,575.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,106.67 / $3,698.61 / $7,096.64	Professional		$2,106.67	$3,698.61	$7,096.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,521.04 / $2,801.16 / $3,081.27	Professional		$2,521.04	$2,801.16	$3,081.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,288.59 / $3,653.99 / $3,784.81	Facility		$3,288.59	$3,653.99	$3,784.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,199.56 / $4,103.60 / $7,136.70	Facility		$3,199.56	$4,103.60	$7,136.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,477.92 / $3,568.35 / $3,568.35	Facility		$3,477.92	$3,568.35	$3,568.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,902.76 / $3,105.89 / $4,019.39	Professional		$2,902.76	$3,105.89	$4,019.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,668.47 / $2,513.88 / $3,183.24	Professional		$1,668.47	$2,513.88	$3,183.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,503.80 / $2,503.80 / $3,105.89	Professional		$2,503.80	$2,503.80	$3,105.89