Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.86 / $3,847.50 / $13,809.00	Facility		$1,018.86	$3,847.50	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.37 / $962.64 / $2,041.18	Professional		$665.37	$962.64	$2,041.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,091.77 / $5,167.93 / $11,429.12	Facility		$1,091.77	$5,167.93	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.47 / $1,870.79 / $6,903.98	Professional		$1,088.47	$1,870.79	$6,903.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,323.83	Facility		$564.00	$906.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.98 / $1,366.46 / $2,410.82	Professional		$918.98	$1,366.46	$2,410.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,029.15 / $1,591.80 / $2,381.56	Facility		$1,029.15	$1,591.80	$2,381.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.24 / $1,595.18 / $2,422.50	Professional		$1,051.24	$1,595.18	$2,422.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.96 / $373.32 / $1,580.16	Professional		$70.96	$373.32	$1,580.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,154.75 / $1,540.33 / $1,627.69	Facility		$1,154.75	$1,540.33	$1,627.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,067.27 / $1,091.77	Facility		$759.83	$1,067.27	$1,091.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.38 / $1,807.14 / $2,167.06	Professional		$1,099.38	$1,807.14	$2,167.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,075.75 / $1,468.04 / $2,061.31	Professional		$1,075.75	$1,468.04	$2,061.31
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $988.57 / $1,205.35 / $2,293.06	Professional		$988.57	$1,205.35	$2,293.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.45 / $858.45 / $858.45	Professional		$858.45	$858.45	$858.45