Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.14 / $2,670.75 / $17,100.00	Facility		$1,317.14	$2,670.75	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.47 / $1,163.01 / $2,333.56	Professional		$751.47	$1,163.01	$2,333.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,395.68 / $5,167.93 / $11,429.12	Facility		$1,395.68	$5,167.93	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.28 / $2,155.55 / $7,531.76	Professional		$1,181.28	$2,155.55	$7,531.76
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 $1,012.34 / $1,560.90 / $2,825.24	Professional		$1,012.34	$1,560.90	$2,825.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,115.13 / $1,688.54 / $2,548.16	Facility		$1,115.13	$1,688.54	$2,548.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,176.14 / $1,707.75 / $2,602.51	Professional		$1,176.14	$1,707.75	$2,602.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $473.95 / $2,048.36	Professional		$110.12	$473.95	$2,048.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,244.68 / $1,885.61 / $2,046.18	Facility		$1,244.68	$1,885.61	$2,046.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,347.68 / $1,395.68	Facility		$759.83	$1,347.68	$1,395.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,189.09 / $1,958.22 / $2,558.34	Professional		$1,189.09	$1,958.22	$2,558.34
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 $1,136.98 / $1,629.50 / $2,430.79	Professional		$1,136.98	$1,629.50	$2,430.79
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 $1,084.52 / $1,402.37 / $2,874.71	Professional		$1,084.52	$1,402.37	$2,874.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $917.33 / $917.33 / $1,122.54	Professional		$917.33	$917.33	$1,122.54