Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,241.46 / $4,638.27 / $22,024.00	Facility		$2,241.46	$4,638.27	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,734.05 / $2,241.46 / $5,098.30	Professional		$1,734.05	$2,241.46	$5,098.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $10,072.78	Facility		$1,613.81	$4,554.63	$10,072.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,486.81 / $3,899.83 / $16,814.83	Professional		$2,486.81	$3,899.83	$16,814.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,911.30 / $3,197.12 / $5,351.80	Professional		$1,911.30	$3,197.12	$5,351.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,472.45 / $2,777.86 / $4,487.89	Facility		$1,472.45	$2,777.86	$4,487.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,503.04 / $2,754.24 / $4,418.26	Professional		$1,503.04	$2,754.24	$4,418.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.63 / $1,051.95 / $3,451.61	Professional		$217.63	$1,051.95	$3,451.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,502.44 / $3,437.87 / $3,567.08	Facility		$2,502.44	$3,437.87	$3,567.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $2,375.08 / $2,433.07	Facility		$537.44	$2,375.08	$2,433.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,717.49 / $3,879.82 / $4,829.39	Professional		$2,717.49	$3,879.82	$4,829.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,589.03 / $8,712.50	Facility		$3,434.81	$4,589.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,422.27 / $3,463.16 / $4,610.58	Professional		$2,422.27	$3,463.16	$4,610.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,203.32 / $2,942.91 / $5,072.75	Professional		$2,203.32	$2,942.91	$5,072.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,480.28 / $1,480.28 / $1,898.89	Professional		$1,480.28	$1,480.28	$1,898.89