Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,526.90 / $3,466.06 / $3,618.75	Facility		$1,526.90	$3,466.06	$3,618.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.11 / $1,526.90 / $3,618.75	Professional		$881.11	$1,526.90	$3,618.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,057.40 / $4,474.35 / $9,517.39	Facility		$2,057.40	$4,474.35	$9,517.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.10 / $1,997.17 / $11,630.57	Professional		$1,403.10	$1,997.17	$11,630.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $1,498.90	Facility		$1,498.90	$1,498.90	$1,498.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $1,498.90	Professional		$1,094.20	$1,094.20	$1,498.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,108.83 / $2,232.13 / $5,045.62	Facility		$1,108.83	$2,232.13	$5,045.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.05 / $2,232.13 / $3,739.47	Professional		$1,110.05	$2,232.13	$3,739.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.10 / $1,801.23 / $1,981.35	Professional		$1,621.10	$1,801.23	$1,981.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,720.91 / $2,045.01 / $2,349.61	Facility		$1,720.91	$2,045.01	$2,349.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,762.21 / $2,349.61 / $2,349.61	Professional		$1,762.21	$2,349.61	$2,349.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,057.40 / $2,638.72 / $4,589.08	Facility		$2,057.40	$2,638.72	$4,589.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,236.40 / $2,294.54 / $2,294.54	Facility		$2,236.40	$2,294.54	$2,294.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,866.56 / $1,997.17 / $2,584.57	Professional		$1,866.56	$1,997.17	$2,584.57
United Facility/Professional Professional Modifier Low / Median / High Price $879.14 / $1,324.31 / $1,677.30	Professional		$879.14	$1,324.31	$1,677.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $565.16 / $565.16 / $1,997.17	Professional		$565.16	$565.16	$1,997.17