Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.71 / $2,861.81 / $2,987.88	Facility		$1,260.71	$2,861.81	$2,987.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.00 / $1,260.71 / $2,987.88	Professional		$970.00	$1,260.71	$2,987.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.72 / $3,694.31 / $9,310.49	Facility		$1,698.72	$3,694.31	$9,310.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,357.99 / $1,687.79 / $12,803.92	Professional		$1,357.99	$1,687.79	$12,803.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,254.96	Facility		$1,254.96	$1,254.96	$1,254.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,254.96	Professional		$916.12	$916.12	$1,254.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,220.76 / $2,063.21 / $5,316.08	Facility		$1,220.76	$2,063.21	$5,316.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,222.09 / $2,078.27 / $4,116.81	Professional		$1,222.09	$2,078.27	$4,116.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,338.48 / $1,487.21 / $1,635.93	Professional		$1,338.48	$1,487.21	$1,635.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,745.99 / $1,894.52 / $2,133.98	Facility		$1,745.99	$1,894.52	$2,133.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,541.15 / $1,541.15 / $1,541.15	Professional		$1,541.15	$1,541.15	$1,541.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.72 / $2,178.69 / $3,789.04	Facility		$1,698.72	$2,178.69	$3,789.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,846.51 / $1,894.52 / $1,894.52	Facility		$1,846.51	$1,894.52	$1,894.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,541.15 / $1,648.99 / $2,133.98	Professional		$1,541.15	$1,648.99	$2,133.98
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $967.84 / $1,457.92 / $1,846.51	Professional		$967.84	$1,457.92	$1,846.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.67 / $501.67 / $1,648.99	Professional		$501.67	$501.67	$1,648.99