Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,033.78 / $3,052.28 / $4,888.12	Facility		$2,033.78	$3,052.28	$4,888.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.81 / $1,992.17 / $4,476.17	Professional		$1,334.81	$1,992.17	$4,476.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,440.46 / $8,921.56 / $17,453.22	Facility		$1,440.46	$8,921.56	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.23 / $3,277.40 / $11,810.40	Professional		$2,131.23	$3,277.40	$11,810.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,595.15	Facility		$714.97	$870.49	$1,595.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.25 / $2,777.63 / $4,379.68	Professional		$1,665.25	$2,777.63	$4,379.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,364.93 / $2,793.98 / $4,460.85	Facility		$1,364.93	$2,793.98	$4,460.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.90 / $2,791.49 / $4,228.72	Professional		$1,398.90	$2,791.49	$4,228.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $878.45 / $3,123.70	Professional		$157.37	$878.45	$3,123.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,529.54 / $3,144.90 / $3,605.94	Facility		$2,529.54	$3,144.90	$3,605.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.71 / $2,092.86 / $2,153.84	Facility		$479.71	$2,092.86	$2,153.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,112.52 / $2,998.77 / $3,911.67	Professional		$2,112.52	$2,998.77	$3,911.67
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 $1,818.55 / $2,783.88 / $3,886.06	Professional		$1,818.55	$2,783.88	$3,886.06
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 $2,048.94 / $2,620.73 / $4,574.41	Professional		$2,048.94	$2,620.73	$4,574.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,327.33 / $1,368.35 / $1,726.67	Professional		$1,327.33	$1,368.35	$1,726.67