Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.44 / $6,470.00 / $24,827.00	Facility		$1,580.44	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.43 / $1,138.64 / $2,589.94	Professional		$829.43	$1,138.64	$2,589.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,238.26 / $9,118.81 / $20,178.18	Facility		$5,238.26	$9,118.81	$20,178.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.24 / $1,864.80 / $8,519.70	Professional		$1,164.24	$1,864.80	$8,519.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $3,302.92	Facility		$1,394.89	$1,698.13	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.06 / $1,597.05 / $2,609.62	Professional		$920.06	$1,597.05	$2,609.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $920.02 / $1,864.88 / $2,976.03	Facility		$920.02	$1,864.88	$2,976.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.32 / $1,842.09 / $2,637.69	Professional		$893.32	$1,842.09	$2,637.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $481.62 / $1,664.72	Professional		$78.85	$481.62	$1,664.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,259.77 / $1,658.22 / $1,746.69	Facility		$1,259.77	$1,658.22	$1,746.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.50 / $1,141.56 / $2,412.73	Facility		$803.50	$1,141.56	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,303.00 / $1,837.86 / $2,293.15	Professional		$1,303.00	$1,837.86	$2,293.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,164.24 / $1,644.42 / $2,238.54	Professional		$1,164.24	$1,644.42	$2,238.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,431.00 / $10,522.00	Facility		$1,471.00	$2,431.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.40 / $1,434.11 / $2,486.42	Professional		$1,050.40	$1,434.11	$2,486.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $699.56 / $699.56 / $921.41	Professional		$699.56	$699.56	$921.41