Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,277.51 / $3,277.51 / $3,277.51	Facility		$3,277.51	$3,277.51	$3,277.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $3,162.81 / $3,277.51	Professional		$2,979.56	$3,162.81	$3,277.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,422.50 / $3,420.00 / $9,187.50	Facility		$2,422.50	$3,420.00	$9,187.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,681.60 / $2,979.56 / $12,825.00	Professional		$2,681.60	$2,979.56	$12,825.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,810.90 / $2,810.90 / $5,726.26	Facility		$2,810.90	$2,810.90	$5,726.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $3,654.17	Professional		$2,979.55	$2,979.55	$3,654.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $4,022.41	Facility		$2,979.56	$2,979.56	$4,022.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,724.45	Professional		$2,979.56	$2,979.56	$3,724.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,901.66 / $2,979.55 / $5,631.37	Facility		$2,901.66	$2,979.55	$5,631.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,365.50 / $2,365.50 / $2,422.50	Facility		$2,365.50	$2,365.50	$2,422.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,194.50 / $2,422.50 / $2,565.00	Professional		$2,194.50	$2,422.50	$2,565.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Facility		$2,979.56	$2,979.56	$2,979.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,830.58 / $2,979.56 / $2,979.56	Professional		$2,830.58	$2,979.56	$2,979.56
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,575.47	Professional		$2,979.56	$2,979.56	$3,575.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Professional		$2,979.56	$2,979.56	$2,979.56