Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.96 / $1,269.56 / $2,897.03	Professional		$976.96	$1,269.56	$2,897.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.30 / $7,547.82 / $15,403.47	Facility		$1,351.30	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $646.16 / $646.16	Facility	AS	$388.48	$646.16	$646.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.31 / $2,315.54 / $8,789.03	Professional		$1,425.31	$2,315.54	$8,789.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.36 / $1,809.56 / $3,051.40	Professional		$1,080.36	$1,809.56	$3,051.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,122.54 / $2,111.11 / $2,917.56	Facility		$1,122.54	$2,111.11	$2,917.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.28 / $2,040.10 / $2,604.02	Professional		$1,073.28	$2,040.10	$2,604.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $621.10 / $1,922.98	Professional		$117.55	$621.10	$1,922.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.50 / $1,957.76 / $2,030.10	Facility		$1,445.50	$1,957.76	$2,030.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,351.30 / $2,218.36	Facility		$738.78	$1,351.30	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,550.65 / $2,207.42 / $2,748.51	Professional		$1,550.65	$2,207.42	$2,748.51
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 $1,378.15 / $1,970.95 / $2,623.98	Professional		$1,378.15	$1,970.95	$2,623.98
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 $1,250.88 / $1,654.10 / $2,913.89	Professional		$1,250.88	$1,654.10	$2,913.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $839.52 / $839.52 / $1,078.85	Professional		$839.52	$839.52	$1,078.85