Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.09 / $5,128.00 / $20,680.40	Facility		$1,359.09	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.81 / $1,039.99 / $2,043.17	Professional		$715.81	$1,039.99	$2,043.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,006.11 / $8,552.21 / $17,453.22	Facility		$1,006.11	$8,552.21	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.28 / $1,646.21 / $6,723.29	Professional		$1,033.28	$1,646.21	$6,723.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,302.92	Facility		$714.97	$870.49	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.58 / $1,355.01 / $2,287.37	Professional		$771.58	$1,355.01	$2,287.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $742.78 / $1,566.00 / $2,896.56	Facility		$742.78	$1,566.00	$2,896.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.46 / $1,506.60 / $2,494.19	Professional		$726.46	$1,506.60	$2,494.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $397.98 / $1,437.34	Professional		$78.68	$397.98	$1,437.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $992.17 / $1,411.80 / $1,514.87	Facility		$992.17	$1,411.80	$1,514.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.50 / $1,006.11 / $2,412.73	Facility		$803.50	$1,006.11	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.08 / $1,643.75 / $2,050.94	Professional		$1,157.08	$1,643.75	$2,050.94
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 $1,026.09 / $1,470.73 / $1,958.03	Professional		$1,026.09	$1,470.73	$1,958.03
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 $913.50 / $1,238.59 / $2,174.31	Professional		$913.50	$1,238.59	$2,174.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.82 / $630.82 / $820.66	Professional		$630.82	$630.82	$820.66