Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.36 / $2,169.96 / $17,100.00	Facility		$1,148.36	$2,169.96	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.50 / $1,050.48 / $2,169.96	Professional		$655.50	$1,050.48	$2,169.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.22 / $10,166.93 / $19,448.18	Facility		$1,961.22	$10,166.93	$19,448.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.06 / $1,904.09 / $6,530.63	Professional		$1,050.06	$1,904.09	$6,530.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $4,636.17	Facility		$564.00	$906.00	$4,636.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.24 / $1,353.93 / $2,494.96	Professional		$882.24	$1,353.93	$2,494.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $993.16 / $1,571.02 / $3,123.63	Facility		$993.16	$1,571.02	$3,123.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.50 / $1,638.21 / $2,746.87	Professional		$1,023.50	$1,638.21	$2,746.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $469.33 / $1,749.65	Professional		$73.87	$469.33	$1,749.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,159.89 / $1,603.98 / $1,756.74	Facility		$1,159.89	$1,603.98	$1,756.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.16 / $1,198.25 / $1,961.22	Facility		$1,179.16	$1,198.25	$1,961.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.22 / $1,732.71 / $2,245.92	Professional		$1,069.22	$1,732.71	$2,245.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,832.97 / $10,161.12 / $19,448.18	Facility		$6,832.97	$10,161.12	$19,448.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,022.20 / $1,468.50 / $2,129.01	Professional		$1,022.20	$1,468.50	$2,129.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $2,428.00 / $11,941.00	Facility		$1,403.00	$2,428.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.01 / $1,300.52 / $2,544.10	Professional		$1,026.01	$1,300.52	$2,544.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $821.75 / $821.75 / $953.95	Professional		$821.75	$821.75	$953.95