Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,165.44 / $3,098.12 / $5,439.85	Facility		$2,165.44	$3,098.12	$5,439.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,425.68 / $2,165.44 / $4,985.83	Professional		$1,425.68	$2,165.44	$4,985.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.64 / $8,921.56 / $17,453.22	Facility		$1,650.64	$8,921.56	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,244.25 / $3,434.06 / $12,434.32	Professional		$2,244.25	$3,434.06	$12,434.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,789.75	Facility		$714.97	$870.49	$1,789.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.69 / $2,862.53 / $4,621.39	Professional		$1,717.69	$2,862.53	$4,621.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,419.92 / $2,859.92 / $4,574.34	Facility		$1,419.92	$2,859.92	$4,574.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,432.91 / $2,859.92 / $4,304.09	Professional		$1,432.91	$2,859.92	$4,304.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.47 / $979.84 / $3,295.71	Professional		$194.47	$979.84	$3,295.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,596.92 / $3,326.05 / $3,672.27	Facility		$2,596.92	$3,326.05	$3,672.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.71 / $2,229.67 / $2,269.92	Facility		$549.71	$2,229.67	$2,269.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,181.02 / $3,102.75 / $4,147.26	Professional		$2,181.02	$3,102.75	$4,147.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,812.14 / $9,118.81 / $17,453.22	Facility		$6,812.14	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,901.12 / $2,899.61 / $4,075.30	Professional		$1,901.12	$2,899.61	$4,075.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,099.81 / $2,828.04 / $4,914.00	Professional		$2,099.81	$2,828.04	$4,914.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,403.25 / $1,410.37 / $1,833.80	Professional		$1,403.25	$1,410.37	$1,833.80