Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,598.36 / $3,628.28 / $3,788.11	Facility		$1,598.36	$3,628.28	$3,788.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.52 / $1,598.36 / $3,788.11	Professional		$1,028.52	$1,598.36	$3,788.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,153.69 / $4,683.76 / $9,894.54	Facility		$2,153.69	$4,683.76	$9,894.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,497.66 / $2,090.64 / $12,189.70	Professional		$1,497.66	$2,090.64	$12,189.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,551.30	Professional		$1,132.45	$1,132.45	$1,551.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,264.32 / $2,459.58 / $6,739.83	Facility		$1,264.32	$2,459.58	$6,739.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,335.79 / $2,366.61 / $4,041.51	Professional		$1,335.79	$2,366.61	$4,041.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,696.97 / $1,885.53 / $2,074.08	Professional		$1,696.97	$1,885.53	$2,074.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,008.83 / $2,401.92 / $2,459.58	Facility		$2,008.83	$2,401.92	$2,459.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,153.69 / $2,762.22 / $4,803.85	Facility		$2,153.69	$2,762.22	$4,803.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,341.06 / $2,401.92 / $2,401.92	Facility		$2,341.06	$2,401.92	$2,401.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,953.92 / $2,090.64 / $2,705.54	Professional		$1,953.92	$2,090.64	$2,705.54
United Facility/Professional Professional Modifier Low / Median / High Price $950.20 / $1,431.35 / $1,812.86	Professional		$950.20	$1,431.35	$1,812.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,157.24 / $2,090.64 / $2,090.64	Professional		$1,157.24	$2,090.64	$2,090.64