Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.04 / $2,413.10 / $2,519.40	Facility		$1,063.04	$2,413.10	$2,519.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.68 / $1,063.04 / $2,519.40	Professional		$782.68	$1,063.04	$2,519.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.38 / $3,115.09 / $7,755.74	Facility		$1,432.38	$3,115.09	$7,755.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.25 / $1,423.16 / $8,729.28	Professional		$1,153.25	$1,423.16	$8,729.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $926.75	Facility		$926.75	$926.75	$926.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $926.75	Professional		$787.74	$787.74	$926.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $840.91 / $1,635.82 / $4,246.87	Facility		$840.91	$1,635.82	$4,246.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $903.84 / $1,635.82 / $3,147.81	Professional		$903.84	$1,635.82	$3,147.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $1,554.03 / $1,635.82	Professional		$60.00	$1,554.03	$1,635.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,298.48 / $1,565.35 / $1,635.82	Facility		$1,298.48	$1,565.35	$1,635.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,472.24 / $1,635.82 / $1,635.82	Professional		$1,472.24	$1,635.82	$1,635.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,432.38 / $1,837.10 / $3,194.96	Facility		$1,432.38	$1,837.10	$3,194.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,557.00 / $1,597.48 / $1,597.48	Facility		$1,557.00	$1,597.48	$1,597.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,299.51 / $1,390.45 / $1,799.40	Professional		$1,299.51	$1,390.45	$1,799.40
United Facility/Professional Professional Modifier Low / Median / High Price $739.92 / $1,109.88 / $1,411.67	Professional		$739.92	$1,109.88	$1,411.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $901.91 / $1,390.45 / $1,390.45	Professional		$901.91	$1,390.45	$1,390.45