Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.21 / $5,128.00 / $21,917.86	Facility		$1,397.21	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.50 / $944.17 / $2,313.62	Professional		$725.50	$944.17	$2,313.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,925.70 / $9,124.02 / $20,178.18	Facility		$4,925.70	$9,124.02	$20,178.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.63 / $1,652.79 / $7,223.58	Professional		$1,053.63	$1,652.79	$7,223.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,302.92	Facility		$883.20	$1,075.31	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.62 / $1,427.85 / $2,301.83	Professional		$798.62	$1,427.85	$2,301.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $865.21 / $1,642.91 / $2,896.56	Facility		$865.21	$1,642.91	$2,896.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.04 / $1,609.39 / $2,543.36	Professional		$783.04	$1,609.39	$2,543.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $413.57 / $1,493.30	Professional		$78.68	$413.57	$1,493.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,115.32 / $1,443.18 / $1,542.34	Facility		$1,115.32	$1,443.18	$1,542.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.50 / $1,008.38 / $2,412.73	Facility		$803.50	$1,008.38	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.70 / $1,653.20 / $2,062.75	Professional		$1,161.70	$1,653.20	$2,062.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,812.14 / $9,118.81 / $17,453.22	Facility		$6,812.14	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,028.41 / $1,479.19 / $1,969.28	Professional		$1,028.41	$1,479.19	$1,969.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.19 / $1,228.86 / $2,183.00	Professional		$917.19	$1,228.86	$2,183.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.54 / $630.54 / $815.72	Professional		$630.54	$630.54	$815.72