Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.80 / $2,998.22 / $3,130.30	Facility		$1,320.80	$2,998.22	$3,130.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.71 / $1,320.80 / $3,130.30	Professional		$1,054.71	$1,320.80	$3,130.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,779.69 / $3,870.40 / $9,699.25	Facility		$1,779.69	$3,870.40	$9,699.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,486.39 / $2,059.98 / $14,886.15	Professional		$1,486.39	$2,059.98	$14,886.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,162.68	Facility		$1,162.68	$1,162.68	$1,162.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $988.28 / $1,162.68	Professional		$988.28	$988.28	$1,162.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,235.04 / $2,109.08 / $5,569.46	Facility		$1,235.04	$2,109.08	$5,569.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,305.09 / $2,143.73 / $3,948.83	Professional		$1,305.09	$2,143.73	$3,948.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $2,032.46	Professional		$60.00	$60.00	$2,032.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,829.21 / $2,032.46 / $2,134.08	Facility		$1,829.21	$2,032.46	$2,134.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,779.69 / $2,282.54 / $3,969.64	Facility		$1,779.69	$2,282.54	$3,969.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,934.52 / $1,984.82 / $1,984.82	Facility		$1,934.52	$1,984.82	$1,984.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,483.70 / $2,235.71 / $2,235.71	Professional		$1,483.70	$2,235.71	$2,235.71
United Facility/Professional Professional Modifier Low / Median / High Price $883.36 / $1,331.75 / $1,771.05	Professional		$883.36	$1,331.75	$1,771.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,702.59 / $1,727.59 / $1,727.59	Professional		$1,702.59	$1,727.59	$1,727.59