Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.57 / $2,550.00 / $17,930.00	Facility		$1,226.57	$2,550.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.01 / $1,009.43 / $2,087.42	Professional		$694.01	$1,009.43	$2,087.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,280.06 / $5,367.06 / $11,429.12	Facility		$1,280.06	$5,367.06	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.48 / $2,011.29 / $6,925.92	Professional		$1,097.48	$2,011.29	$6,925.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.86 / $1,464.16 / $2,671.76	Professional		$955.86	$1,464.16	$2,671.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $1,567.44 / $2,381.56	Facility		$1,035.00	$1,567.44	$2,381.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $1,616.90 / $2,461.87	Professional		$1,116.00	$1,616.90	$2,461.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $473.95 / $1,822.69	Professional		$108.23	$473.95	$1,822.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,126.84 / $1,729.61 / $1,876.67	Facility		$1,126.84	$1,729.61	$1,876.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,240.77 / $1,280.06	Facility		$759.83	$1,240.77	$1,280.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.24 / $1,823.42 / $2,375.00	Professional		$1,124.24	$1,823.42	$2,375.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,073.69 / $1,539.26 / $2,251.38	Professional		$1,073.69	$1,539.26	$2,251.38
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 $1,114.26 / $1,419.63 / $2,639.11	Professional		$1,114.26	$1,419.63	$2,639.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $874.32 / $874.32 / $1,031.38	Professional		$874.32	$874.32	$1,031.38