Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.58 / $5,128.00 / $18,800.00	Facility		$1,196.58	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.89 / $1,196.58 / $2,358.76	Professional		$738.89	$1,196.58	$2,358.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,279.14 / $7,873.79 / $15,720.23	Facility		$1,279.14	$7,873.79	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.58 / $2,210.13 / $8,112.68	Professional		$1,269.58	$2,210.13	$8,112.68
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 $1,061.08 / $1,608.34 / $2,829.11	Professional		$1,061.08	$1,608.34	$2,829.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,167.09 / $1,871.39 / $2,861.25	Facility		$1,167.09	$1,871.39	$2,861.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.09 / $1,878.57 / $2,861.25	Professional		$1,167.09	$1,878.57	$2,861.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $396.98 / $1,840.86	Professional		$72.32	$396.98	$1,840.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,304.86 / $1,757.60 / $1,875.33	Facility		$1,304.86	$1,757.60	$1,875.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.38 / $1,244.83 / $1,279.14	Facility		$988.38	$1,244.83	$1,279.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,290.18 / $2,119.87 / $2,538.96	Professional		$1,290.18	$2,119.87	$2,538.96
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 $1,254.74 / $1,719.99 / $2,403.10	Professional		$1,254.74	$1,719.99	$2,403.10
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 $1,119.99 / $1,353.75 / $2,689.89	Professional		$1,119.99	$1,353.75	$2,689.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,013.78 / $1,013.78 / $1,013.78	Professional		$1,013.78	$1,013.78	$1,013.78