Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.21 / $5,128.00 / $20,680.40	Facility		$1,314.21	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.35 / $1,314.21 / $2,541.21	Professional		$798.35	$1,314.21	$2,541.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,402.99 / $5,367.06 / $11,429.12	Facility		$1,402.99	$5,367.06	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.32 / $2,407.21 / $8,900.78	Professional		$1,394.32	$2,407.21	$8,900.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.68 / $1,285.00 / $2,323.83	Facility		$796.68	$1,285.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.61 / $1,684.42 / $3,106.62	Professional		$1,112.61	$1,684.42	$3,106.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,192.95 / $1,749.26 / $2,708.03	Facility		$1,192.95	$1,749.26	$2,708.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,194.26 / $1,908.40 / $2,708.03	Professional		$1,194.26	$1,908.40	$2,708.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $556.51 / $2,047.73	Professional		$78.81	$556.51	$2,047.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,418.43 / $1,889.40 / $2,056.90	Facility		$1,418.43	$1,889.40	$2,056.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,367.15 / $1,402.99	Facility		$759.83	$1,367.15	$1,402.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,402.99 / $2,325.31 / $2,784.80	Professional		$1,402.99	$2,325.31	$2,784.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,378.02 / $1,886.52 / $2,630.37	Professional		$1,378.02	$1,886.52	$2,630.37
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 $1,233.99 / $1,487.70 / $2,903.19	Professional		$1,233.99	$1,487.70	$2,903.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,112.97 / $1,112.97 / $1,112.97	Professional		$1,112.97	$1,112.97	$1,112.97