Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.63 / $5,132.00 / $22,024.00	Facility		$1,425.63	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.67 / $996.83 / $2,431.63	Professional		$765.67	$996.83	$2,431.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,238.26 / $16,547.20 / $31,745.76	Facility		$5,238.26	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.85 / $1,754.72 / $6,588.98	Professional		$1,074.85	$1,754.72	$6,588.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $6,910.09	Facility		$1,005.16	$1,223.70	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.82 / $1,447.51 / $2,342.63	Professional		$815.82	$1,447.51	$2,342.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $866.95 / $1,757.62 / $6,059.92	Facility		$866.95	$1,757.62	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.49 / $1,650.68 / $5,218.14	Professional		$799.49	$1,650.68	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $458.96 / $1,506.48	Professional		$78.81	$458.96	$1,506.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,112.49 / $1,494.94 / $1,630.11	Facility		$1,112.49	$1,494.94	$1,630.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,027.85 / $1,044.25 / $5,317.93	Facility		$1,027.85	$1,044.25	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,175.57 / $1,679.06 / $2,072.71	Professional		$1,175.57	$1,679.06	$2,072.71
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 $1,048.28 / $1,486.35 / $2,013.44	Professional		$1,048.28	$1,486.35	$2,013.44
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 $937.20 / $1,244.99 / $2,209.07	Professional		$937.20	$1,244.99	$2,209.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $633.29 / $633.29 / $841.89	Professional		$633.29	$633.29	$841.89