Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.08 / $2,208.46 / $17,100.00	Facility		$1,146.08	$2,208.46	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.85 / $999.41 / $2,177.57	Professional		$593.85	$999.41	$2,177.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,194.59 / $7,547.82 / $15,403.47	Facility		$1,194.59	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.79 / $1,851.65 / $6,412.80	Professional		$1,013.79	$1,851.65	$6,412.80
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 $860.67 / $1,340.73 / $2,415.69	Professional		$860.67	$1,340.73	$2,415.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $1,450.99 / $2,406.73	Facility		$919.00	$1,450.99	$2,406.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $928.80 / $1,463.22 / $2,406.73	Professional		$928.80	$1,463.22	$2,406.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $471.49 / $1,758.65	Professional		$108.23	$471.49	$1,758.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,126.02 / $1,607.05 / $1,751.38	Facility		$1,126.02	$1,607.05	$1,751.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.38 / $1,194.59 / $1,241.82	Facility		$988.38	$1,194.59	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.72 / $1,669.52 / $2,189.75	Professional		$1,014.72	$1,669.52	$2,189.75
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 $976.67 / $1,403.08 / $2,114.13	Professional		$976.67	$1,403.08	$2,114.13
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 $992.75 / $1,314.56 / $2,501.19	Professional		$992.75	$1,314.56	$2,501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $785.23 / $785.23 / $962.81	Professional		$785.23	$785.23	$962.81