Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.48 / $5,128.00 / $18,800.00	Facility		$1,195.48	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.55 / $1,195.48 / $2,322.82	Professional		$729.55	$1,195.48	$2,322.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,276.85 / $7,873.79 / $15,720.23	Facility		$1,276.85	$7,873.79	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.85 / $2,228.38 / $8,115.23	Professional		$1,276.85	$2,228.38	$8,115.23
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 $1,018.37 / $1,541.56 / $2,825.33	Professional		$1,018.37	$1,541.56	$2,825.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,152.08 / $1,799.73 / $2,892.18	Facility		$1,152.08	$1,799.73	$2,892.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.08 / $1,810.22 / $2,879.56	Professional		$1,152.08	$1,810.22	$2,879.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $472.63 / $1,876.91	Professional		$75.04	$472.63	$1,876.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,263.22 / $1,726.59 / $1,871.98	Facility		$1,263.22	$1,726.59	$1,871.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.38 / $1,253.45 / $1,276.85	Facility		$988.38	$1,253.45	$1,276.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,276.85 / $2,137.37 / $2,534.44	Professional		$1,276.85	$2,137.37	$2,534.44
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 $1,263.41 / $1,716.91 / $2,399.57	Professional		$1,263.41	$1,716.91	$2,399.57
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 $1,110.06 / $1,402.16 / $2,712.09	Professional		$1,110.06	$1,402.16	$2,712.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,036.95 / $1,036.95 / $1,036.95	Professional		$1,036.95	$1,036.95	$1,036.95