Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.04 / $2,297.57 / $18,711.00	Facility		$1,154.04	$2,297.57	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.17 / $1,154.04 / $2,109.10	Professional		$642.17	$1,154.04	$2,109.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.22 / $10,166.93 / $19,848.13	Facility		$1,961.22	$10,166.93	$19,848.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.02 / $1,889.53 / $6,525.60	Professional		$1,019.02	$1,889.53	$6,525.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $4,636.17	Facility		$644.92	$1,110.00	$4,636.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.10 / $1,367.69 / $2,453.94	Professional		$889.10	$1,367.69	$2,453.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $1,557.82 / $3,123.63	Facility		$963.00	$1,557.82	$3,123.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,033.00 / $1,585.84 / $2,783.11	Professional		$1,033.00	$1,585.84	$2,783.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $463.32 / $1,730.34	Professional		$74.13	$463.32	$1,730.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,220.94 / $1,632.79 / $1,780.19	Facility		$1,220.94	$1,632.79	$1,780.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.63 / $1,214.25 / $1,961.22	Facility		$1,174.63	$1,214.25	$1,961.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.05 / $1,714.41 / $2,226.52	Professional		$1,041.05	$1,714.41	$2,226.52
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 $996.07 / $1,431.79 / $2,133.96	Professional		$996.07	$1,431.79	$2,133.96
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 $1,037.30 / $1,315.61 / $2,541.39	Professional		$1,037.30	$1,315.61	$2,541.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $802.29 / $802.29 / $974.35	Professional		$802.29	$802.29	$974.35