Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.55 / $6,470.00 / $22,024.00	Facility		$1,700.55	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.41 / $1,179.08 / $2,365.34	Professional		$732.41	$1,179.08	$2,365.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,267.26 / $8,052.47 / $15,578.36	Facility		$1,267.26	$8,052.47	$15,578.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.94 / $2,174.05 / $8,046.68	Professional		$1,252.94	$2,174.05	$8,046.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,846.84	Facility		$644.92	$1,110.00	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.68 / $1,562.26 / $2,801.17	Professional		$1,031.68	$1,562.26	$2,801.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,154.20 / $1,819.77 / $2,832.18	Facility		$1,154.20	$1,819.77	$2,832.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,154.20 / $1,834.12 / $2,832.18	Professional		$1,154.20	$1,834.12	$2,832.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $391.36 / $1,811.00	Professional		$71.55	$391.36	$1,811.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,290.17 / $1,760.76 / $1,857.91	Facility		$1,290.17	$1,760.76	$1,857.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.38 / $1,241.82 / $1,267.26	Facility		$988.38	$1,241.82	$1,267.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,270.58 / $2,100.08 / $2,515.39	Professional		$1,270.58	$2,100.08	$2,515.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,238.30 / $1,704.01 / $2,370.50	Professional		$1,238.30	$1,704.01	$2,370.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.94 / $1,409.58 / $2,668.95	Professional		$1,115.94	$1,409.58	$2,668.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,009.64 / $1,009.64 / $1,009.64	Professional		$1,009.64	$1,009.64	$1,009.64