Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.31 / $5,128.00 / $20,680.40	Facility		$1,630.31	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.47 / $1,117.92 / $2,425.04	Professional		$748.47	$1,117.92	$2,425.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,244.41 / $8,231.65 / $16,103.56	Facility		$1,244.41	$8,231.65	$16,103.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.70 / $2,066.41 / $8,184.30	Professional		$1,261.70	$2,066.41	$8,184.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.11 / $1,589.59 / $2,716.61	Professional		$891.11	$1,589.59	$2,716.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $818.30 / $1,643.18 / $2,408.53	Facility		$818.30	$1,643.18	$2,408.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.30 / $1,557.88 / $2,206.53	Professional		$818.30	$1,557.88	$2,206.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $529.40 / $1,721.01	Professional		$79.72	$529.40	$1,721.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,165.71 / $1,677.01 / $1,824.41	Facility		$1,165.71	$1,677.01	$1,824.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.39 / $1,191.39 / $1,244.41	Facility		$1,191.39	$1,191.39	$1,244.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,379.04 / $1,979.62 / $2,470.03	Professional		$1,379.04	$1,979.62	$2,470.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,430.39 / $8,418.45 / $16,103.56	Facility		$6,430.39	$8,418.45	$16,103.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,215.06 / $1,771.26 / $2,358.12	Professional		$1,215.06	$1,771.26	$2,358.12
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.16 / $1,376.64 / $2,549.79	Professional		$976.16	$1,376.64	$2,549.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $757.80 / $757.80 / $976.51	Professional		$757.80	$757.80	$976.51