Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.84 / $6,375.45 / $22,024.00	Facility		$1,232.84	$6,375.45	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.89 / $2,597.21 / $7,430.54	Professional		$730.89	$2,597.21	$7,430.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,707.47 / $16,227.47 / $31,745.76	Facility		$4,707.47	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.23 / $4,765.81 / $19,122.08	Professional		$1,161.23	$4,765.81	$19,122.08
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 $918.64 / $2,590.54 / $7,352.97	Professional		$918.64	$2,590.54	$7,352.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $950.79 / $3,806.92 / $8,214.36	Facility		$950.79	$3,806.92	$8,214.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.79 / $3,307.08 / $8,005.77	Professional		$950.79	$3,307.08	$8,005.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.51 / $1,486.87 / $5,100.28	Professional		$270.51	$1,486.87	$5,100.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,422.41 / $5,019.06 / $6,130.88	Facility		$1,422.41	$5,019.06	$6,130.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.02 / $3,540.38 / $5,317.93	Facility		$1,771.02	$3,540.38	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.63 / $2,224.91 / $6,560.75	Professional		$1,113.63	$2,224.91	$6,560.75
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 $1,054.13 / $2,794.54 / $6,389.73	Professional		$1,054.13	$2,794.54	$6,389.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,542.00 / $11,261.00	Facility		$1,547.00	$2,542.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,275.05 / $4,445.70 / $7,703.04	Professional		$3,275.05	$4,445.70	$7,703.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $729.79 / $2,103.09 / $2,932.21	Professional		$729.79	$2,103.09	$2,932.21