Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.02 / $2,096.44 / $22,024.00	Facility		$1,036.02	$2,096.44	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.98 / $1,036.02 / $2,105.92	Professional		$646.98	$1,036.02	$2,105.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,624.41 / $4,488.33 / $11,500.00	Facility		$2,624.41	$4,488.33	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.46 / $1,613.97 / $6,724.95	Professional		$1,052.46	$1,613.97	$6,724.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,557.08 / $1,698.13	Facility		$1,394.89	$1,557.08	$1,698.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.16 / $1,323.01 / $2,295.65	Professional		$735.16	$1,323.01	$2,295.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $737.49 / $1,290.39 / $2,025.64	Facility		$737.49	$1,290.39	$2,025.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $737.49 / $1,262.11 / $1,960.68	Professional		$737.49	$1,262.11	$1,960.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $473.95 / $1,591.27	Professional		$78.85	$473.95	$1,591.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,011.00 / $1,484.05 / $1,630.11	Facility		$1,011.00	$1,484.05	$1,630.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.20 / $1,078.14 / $1,144.67	Facility		$381.20	$1,078.14	$1,144.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.44 / $1,522.25 / $2,015.40	Professional		$1,064.44	$1,522.25	$2,015.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,321.81 / $8,267.12	Facility		$3,301.18	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $937.99 / $1,405.71 / $1,991.41	Professional		$937.99	$1,405.71	$1,991.41
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.91 / $1,284.72 / $2,334.57	Professional		$961.91	$1,284.72	$2,334.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $670.02 / $700.64 / $890.46	Professional		$670.02	$700.64	$890.46