Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.31 / $1,859.71 / $17,100.00	Facility		$1,043.31	$1,859.71	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.16 / $1,015.18 / $1,852.11	Professional		$534.16	$1,015.18	$1,852.11
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 $1,015.88 / $1,816.27 / $6,335.25	Professional		$1,015.88	$1,816.27	$6,335.25
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 $844.79 / $1,288.98 / $2,256.48	Professional		$844.79	$1,288.98	$2,256.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $1,468.23 / $2,930.92	Facility		$924.00	$1,468.23	$2,930.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.59 / $1,500.44 / $2,474.48	Professional		$944.59	$1,500.44	$2,474.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $379.87 / $1,587.64	Professional		$71.55	$379.87	$1,587.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $974.45 / $1,350.67 / $1,599.29	Facility		$974.45	$1,350.67	$1,599.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,070.89 / $1,090.85 / $1,961.22	Facility		$1,070.89	$1,090.85	$1,961.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.88 / $1,680.47 / $2,065.23	Professional		$1,015.88	$1,680.47	$2,065.23
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 $982.15 / $1,411.33 / $1,963.47	Professional		$982.15	$1,411.33	$1,963.47
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 $922.40 / $1,199.13 / $2,304.66	Professional		$922.40	$1,199.13	$2,304.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $791.75 / $791.75 / $867.92	Professional		$791.75	$791.75	$867.92