Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.08 / $5,128.00 / $20,680.40	Facility		$1,297.08	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.45 / $1,297.08 / $2,614.94	Professional		$778.45	$1,297.08	$2,614.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.22 / $10,166.93 / $19,848.13	Facility		$1,961.22	$10,166.93	$19,848.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.91 / $2,472.16 / $9,260.78	Professional		$1,447.91	$2,472.16	$9,260.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.68 / $1,285.00 / $4,636.17	Facility		$796.68	$1,285.00	$4,636.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.57 / $1,728.72 / $3,231.87	Professional		$1,135.57	$1,728.72	$3,231.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,249.32 / $2,067.31 / $4,240.71	Facility		$1,249.32	$2,067.31	$4,240.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,249.32 / $2,082.19 / $4,065.76	Professional		$1,249.32	$2,082.19	$4,065.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $559.98 / $2,099.08	Professional		$108.23	$559.98	$2,099.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,409.24 / $1,915.53 / $2,139.98	Facility		$1,409.24	$1,915.53	$2,139.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.10 / $1,459.66 / $1,961.22	Facility		$1,313.10	$1,459.66	$1,961.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,459.66 / $2,375.10 / $2,897.28	Professional		$1,459.66	$2,375.10	$2,897.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,832.97 / $10,161.12 / $19,448.18	Facility		$6,832.97	$10,161.12	$19,448.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,430.98 / $1,954.44 / $2,634.42	Professional		$1,430.98	$1,954.44	$2,634.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $2,428.00 / $11,941.00	Facility		$1,403.00	$2,428.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,188.99 / $1,506.45 / $3,064.50	Professional		$1,188.99	$1,506.45	$3,064.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,159.47 / $1,159.47 / $1,159.47	Professional		$1,159.47	$1,159.47	$1,159.47