Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.70 / $5,128.00 / $18,800.00	Facility		$1,180.70	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.00 / $1,180.70 / $2,335.77	Professional		$697.00	$1,180.70	$2,335.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.41 / $5,367.06 / $11,429.12	Facility		$1,260.41	$5,367.06	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.48 / $2,179.19 / $7,995.83	Professional		$1,252.48	$2,179.19	$7,995.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.71 / $1,550.81 / $2,791.32	Professional		$1,022.71	$1,550.81	$2,791.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,124.91 / $1,667.75 / $2,494.61	Facility		$1,124.91	$1,667.75	$2,494.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,124.91 / $1,701.07 / $2,590.50	Professional		$1,124.91	$1,701.07	$2,590.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $469.33 / $1,822.11	Professional		$74.41	$469.33	$1,822.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,200.18 / $1,727.26 / $1,847.86	Facility		$1,200.18	$1,727.26	$1,847.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,228.08 / $1,260.41	Facility		$759.83	$1,228.08	$1,260.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.41 / $2,090.19 / $2,501.78	Professional		$1,260.41	$2,090.19	$2,501.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,237.83 / $1,694.79 / $2,363.44	Professional		$1,237.83	$1,694.79	$2,363.44
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 $1,078.71 / $1,490.42 / $3,154.99	Professional		$1,078.71	$1,490.42	$3,154.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,001.18 / $1,001.18 / $1,001.18	Professional		$1,001.18	$1,001.18	$1,001.18