Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.23 / $5,128.00 / $20,680.40	Facility		$1,164.23	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.54 / $1,164.23 / $2,265.07	Professional		$658.54	$1,164.23	$2,265.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.82 / $7,873.79 / $15,720.23	Facility		$1,241.82	$7,873.79	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.69 / $2,138.73 / $7,849.88	Professional		$1,231.69	$2,138.73	$7,849.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.68 / $1,285.00 / $2,846.84	Facility		$796.68	$1,285.00	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.09 / $1,508.85 / $2,743.47	Professional		$994.09	$1,508.85	$2,743.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,077.71 / $1,740.55 / $2,791.87	Facility		$1,077.71	$1,740.55	$2,791.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.58 / $1,749.68 / $2,791.87	Professional		$1,093.58	$1,749.68	$2,791.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $472.63 / $1,816.78	Professional		$74.41	$472.63	$1,816.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,227.45 / $1,669.64 / $1,813.69	Facility		$1,227.45	$1,669.64	$1,813.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.38 / $1,237.09 / $1,241.82	Facility		$988.38	$1,237.09	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.09 / $2,051.39 / $2,455.52	Professional		$1,237.09	$2,051.39	$2,455.52
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 $1,217.30 / $1,663.45 / $2,320.29	Professional		$1,217.30	$1,663.45	$2,320.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $2,442.67 / $10,522.00	Facility		$1,232.00	$2,442.67	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.70 / $1,375.20 / $2,561.19	Professional		$1,053.70	$1,375.20	$2,561.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $984.96 / $984.96 / $984.96	Professional		$984.96	$984.96	$984.96