Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,994.23 / $2,876.84 / $4,763.77	Facility		$1,994.23	$2,876.84	$4,763.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.60 / $1,994.23 / $4,763.77	Professional		$1,314.60	$1,994.23	$4,763.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,561.00 / $8,921.56 / $17,453.22	Facility		$1,561.00	$8,921.56	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,009.74 / $3,181.66 / $11,641.28	Professional		$2,009.74	$3,181.66	$11,641.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,760.64	Facility		$714.97	$870.49	$1,760.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,596.26 / $2,606.86 / $4,335.34	Professional		$1,596.26	$2,606.86	$4,335.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,350.72 / $2,710.32 / $4,347.39	Facility		$1,350.72	$2,710.32	$4,347.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,353.15 / $2,677.93 / $4,108.76	Professional		$1,353.15	$2,677.93	$4,108.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $925.75 / $3,122.33	Professional		$157.58	$925.75	$3,122.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,350.14 / $3,078.36 / $3,493.38	Facility		$2,350.14	$3,078.36	$3,493.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.85 / $2,047.11 / $2,126.88	Facility		$519.85	$2,047.11	$2,126.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,983.19 / $2,803.93 / $3,831.60	Professional		$1,983.19	$2,803.93	$3,831.60
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 $1,721.74 / $2,643.63 / $3,742.92	Professional		$1,721.74	$2,643.63	$3,742.92
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 $1,943.34 / $2,544.85 / $4,441.93	Professional		$1,943.34	$2,544.85	$4,441.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,280.76 / $1,314.08 / $1,724.32	Professional		$1,280.76	$1,314.08	$1,724.32