Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.94 / $2,087.35 / $14,464.32	Facility		$1,184.94	$2,087.35	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.66 / $1,184.94 / $2,328.26	Professional		$726.66	$1,184.94	$2,328.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.67 / $4,319.34 / $8,267.12	Facility		$1,144.67	$4,319.34	$8,267.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.03 / $1,807.01 / $6,368.32	Professional		$1,165.03	$1,807.01	$6,368.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,451.11	Facility		$466.83	$568.48	$1,451.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.26 / $1,419.65 / $2,548.28	Professional		$797.26	$1,419.65	$2,548.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $739.20 / $1,327.33 / $2,076.30	Facility		$739.20	$1,327.33	$2,076.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.26 / $1,289.84 / $2,079.00	Professional		$731.26	$1,289.84	$2,079.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.53 / $470.96 / $1,702.04	Professional		$114.53	$470.96	$1,702.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $976.86 / $1,538.32 / $1,722.57	Facility		$976.86	$1,538.32	$1,722.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.20 / $1,174.95 / $1,183.24	Facility		$381.20	$1,174.95	$1,183.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.95 / $1,678.74 / $2,163.77	Professional		$1,174.95	$1,678.74	$2,163.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,319.34 / $8,267.12	Facility		$2,802.50	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,030.82 / $1,558.03 / $2,125.69	Professional		$1,030.82	$1,558.03	$2,125.69
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,612.00 / $6,857.00	Facility		$702.00	$1,612.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $936.49 / $1,391.80 / $2,466.19	Professional		$936.49	$1,391.80	$2,466.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $704.80 / $795.19 / $966.07	Professional		$704.80	$795.19	$966.07