Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,477.57 / $3,354.08 / $3,501.84	Facility		$1,477.57	$3,354.08	$3,501.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.90 / $1,477.57 / $3,501.84	Professional		$1,179.90	$1,477.57	$3,501.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,990.93 / $10,007.20 / $10,007.20	Facility		$1,990.93	$10,007.20	$10,007.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.56 / $2,501.07 / $16,653.08	Professional		$1,619.56	$2,501.07	$16,653.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,800.00	Professional		$1,530.00	$1,530.00	$1,800.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,179.98 / $2,239.67 / $4,146.27	Facility		$1,179.98	$2,239.67	$4,146.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,310.92 / $2,301.53 / $4,417.18	Professional		$1,310.92	$2,301.53	$4,417.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $2,273.69 / $2,273.69	Professional		$60.00	$2,273.69	$2,273.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,046.33 / $2,273.69 / $2,501.07	Facility		$2,046.33	$2,273.69	$2,501.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,619.13 / $1,806.26 / $1,806.26	Professional		$1,619.13	$1,806.26	$1,806.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,990.93 / $1,990.93 / $3,681.44	Facility		$1,990.93	$1,990.93	$3,681.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.80 / $2,501.07 / $2,501.07	Professional		$1,659.80	$2,501.07	$2,501.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.47 / $1,564.66 / $1,981.26	Professional		$1,038.47	$1,564.66	$1,981.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,250.20 / $1,932.64 / $1,932.64	Professional		$1,250.20	$1,932.64	$1,932.64