Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.83 / $6,470.00 / $24,827.00	Facility		$1,298.83	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.67 / $1,004.46 / $2,079.80	Professional		$734.67	$1,004.46	$2,079.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,317.93 / $16,595.73 / $31,745.76	Facility		$5,317.93	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,030.26 / $1,648.86 / $7,654.52	Professional		$1,030.26	$1,648.86	$7,654.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $8,758.29	Facility		$1,394.89	$1,698.13	$8,758.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.98 / $1,381.67 / $2,290.06	Professional		$795.98	$1,381.67	$2,290.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $769.73 / $1,605.65 / $6,948.53	Facility		$769.73	$1,605.65	$6,948.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.73 / $1,582.12 / $6,613.82	Professional		$769.73	$1,582.12	$6,613.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $452.59 / $1,476.53	Professional		$78.81	$452.59	$1,476.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $931.49 / $1,327.94 / $1,516.40	Facility		$931.49	$1,327.94	$1,516.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.19 / $1,028.71 / $5,317.93	Facility		$1,010.19	$1,028.71	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,155.02 / $1,636.48 / $2,041.88	Professional		$1,155.02	$1,636.48	$2,041.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,030.26 / $1,479.81 / $1,993.26	Professional		$1,030.26	$1,479.81	$1,993.26
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 $866.13 / $1,217.69 / $2,191.85	Professional		$866.13	$1,217.69	$2,191.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $623.36 / $623.36 / $822.33	Professional		$623.36	$623.36	$822.33