Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.19 / $2,844.74 / $2,970.06	Facility		$1,253.19	$2,844.74	$2,970.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.38 / $1,253.19 / $2,970.06	Professional		$858.38	$1,253.19	$2,970.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,688.59 / $3,826.80 / $9,391.64	Facility		$1,688.59	$3,826.80	$9,391.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,362.53 / $1,676.51 / $10,987.20	Professional		$1,362.53	$1,676.51	$10,987.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $1,473.53	Facility		$1,473.53	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,473.53	Professional		$1,075.68	$1,075.68	$1,473.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,080.17 / $1,928.42 / $4,915.31	Facility		$1,080.17	$1,928.42	$4,915.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,928.42 / $3,642.65	Professional		$1,081.34	$1,928.42	$3,642.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,330.50 / $1,478.34 / $1,626.17	Professional		$1,330.50	$1,478.34	$1,626.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,530.74 / $1,735.58 / $1,928.42	Facility		$1,530.74	$1,735.58	$1,928.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,716.75 / $1,928.42 / $1,928.42	Professional		$1,716.75	$1,928.42	$1,928.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,688.59 / $2,165.69 / $3,766.44	Facility		$1,688.59	$2,165.69	$3,766.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,835.50 / $1,883.22 / $1,883.22	Facility		$1,835.50	$1,883.22	$1,883.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,531.96 / $1,639.16 / $2,121.26	Professional		$1,531.96	$1,639.16	$2,121.26
United Facility/Professional Professional Modifier Low / Median / High Price $856.46 / $1,284.70 / $1,634.03	Professional		$856.46	$1,284.70	$1,634.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $565.16 / $565.16 / $1,639.16	Professional		$565.16	$565.16	$1,639.16