Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.18 / $7,144.00 / $24,827.00	Facility		$1,371.18	$7,144.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.98 / $947.33 / $2,111.76	Professional		$721.98	$947.33	$2,111.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,317.93 / $16,547.20 / $31,745.76	Facility		$5,317.93	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.09 / $1,742.04 / $6,463.50	Professional		$1,060.09	$1,742.04	$6,463.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $6,910.09	Facility		$1,394.89	$1,698.13	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.59 / $1,336.94 / $2,254.56	Professional		$768.59	$1,336.94	$2,254.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $716.80 / $1,539.46 / $6,059.92	Facility		$716.80	$1,539.46	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.03 / $1,493.17 / $5,218.14	Professional		$714.03	$1,493.17	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $397.59 / $1,415.65	Professional		$78.68	$397.59	$1,415.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,032.95 / $1,428.44 / $1,494.10	Facility		$1,032.95	$1,428.44	$1,494.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.43 / $1,019.11 / $5,317.93	Facility		$993.43	$1,019.11	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.18 / $1,622.82 / $2,022.83	Professional		$1,142.18	$1,622.82	$2,022.83
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 $1,013.17 / $1,453.15 / $1,956.24	Professional		$1,013.17	$1,453.15	$1,956.24
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 $871.50 / $1,179.74 / $2,146.30	Professional		$871.50	$1,179.74	$2,146.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $621.98 / $621.98 / $807.80	Professional		$621.98	$621.98	$807.80