Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.06 / $2,635.61 / $2,751.71	Facility		$1,161.06	$2,635.61	$2,751.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.16 / $1,161.06 / $2,751.71	Professional		$927.16	$1,161.06	$2,751.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,564.46 / $3,053.37 / $7,863.62	Facility		$1,564.46	$3,053.37	$7,863.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.09 / $1,821.59 / $9,234.45	Professional		$1,368.09	$1,821.59	$9,234.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,022.07	Facility		$1,022.07	$1,022.07	$1,022.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $868.76 / $1,022.07	Professional		$868.76	$868.76	$1,022.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,300.14 / $2,054.65 / $5,037.09	Facility		$1,300.14	$2,054.65	$5,037.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,300.14 / $2,032.82 / $3,509.69	Professional		$1,300.14	$2,032.82	$3,509.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,515.33 / $1,724.12 / $1,896.53	Professional		$1,515.33	$1,724.12	$1,896.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,607.99 / $1,786.65 / $1,965.32	Facility		$1,607.99	$1,786.65	$1,965.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,419.34 / $1,419.34 / $1,419.34	Professional		$1,419.34	$1,419.34	$1,419.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,483.06 / $1,564.46 / $3,402.32	Facility		$1,483.06	$1,564.46	$3,402.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.06 / $1,595.75 / $2,567.86	Professional		$1,483.06	$1,595.75	$2,567.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,700.57 / $1,744.78 / $1,744.78	Facility		$1,700.57	$1,744.78	$1,744.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,304.25 / $1,965.32 / $1,965.32	Professional		$1,304.25	$1,965.32	$1,965.32
United Facility/Professional Professional Modifier Low / Median / High Price $816.02 / $1,227.99 / $1,556.87	Professional		$816.02	$1,227.99	$1,556.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,442.58 / $1,518.65 / $1,518.65	Professional		$1,442.58	$1,518.65	$1,518.65