Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.60 / $5,128.00 / $18,800.00	Facility		$1,148.60	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.08 / $1,148.60 / $2,295.30	Professional		$697.08	$1,148.60	$2,295.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.82 / $7,873.79 / $15,720.23	Facility		$1,241.82	$7,873.79	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.76 / $2,120.48 / $7,786.05	Professional		$1,218.76	$2,120.48	$7,786.05
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 $1,004.94 / $1,523.78 / $2,717.15	Professional		$1,004.94	$1,523.78	$2,717.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,105.33 / $1,786.32 / $2,752.50	Facility		$1,105.33	$1,786.32	$2,752.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.33 / $1,798.96 / $2,752.50	Professional		$1,105.33	$1,798.96	$2,752.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $384.03 / $1,795.41	Professional		$71.55	$384.03	$1,795.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,246.56 / $1,707.83 / $1,799.62	Facility		$1,246.56	$1,707.83	$1,799.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.38 / $1,227.50 / $1,241.82	Facility		$988.38	$1,227.50	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.41 / $2,033.89 / $2,436.46	Professional		$1,230.41	$2,033.89	$2,436.46
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 $1,204.51 / $1,650.55 / $2,301.79	Professional		$1,204.51	$1,650.55	$2,301.79
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 $1,060.99 / $1,337.97 / $2,580.77	Professional		$1,060.99	$1,337.97	$2,580.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $975.14 / $975.14 / $975.14	Professional		$975.14	$975.14	$975.14