Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.51 / $5,132.00 / $22,024.00	Facility		$1,326.51	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.62 / $960.72 / $2,027.19	Professional		$682.62	$960.72	$2,027.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.02 / $15,449.66 / $31,745.76	Facility		$1,771.02	$15,449.66	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.70 / $1,720.94 / $6,395.63	Professional		$1,037.70	$1,720.94	$6,395.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $2,285.42	Facility		$2,000.00	$2,285.42	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.34 / $1,326.75 / $2,242.36	Professional		$764.34	$1,326.75	$2,242.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $739.76 / $1,564.40 / $5,194.27	Facility		$739.76	$1,564.40	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.70 / $1,542.38 / $4,127.78	Professional		$734.70	$1,542.38	$4,127.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $410.67 / $1,497.84	Professional		$78.68	$410.67	$1,497.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $962.85 / $1,316.55 / $1,478.02	Facility		$962.85	$1,316.55	$1,478.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.63 / $1,008.14 / $5,317.93	Facility		$986.63	$1,008.14	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,130.35 / $1,611.72 / $2,001.06	Professional		$1,130.35	$1,611.72	$2,001.06
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 $1,006.24 / $1,450.22 / $1,936.00	Professional		$1,006.24	$1,450.22	$1,936.00
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 $862.26 / $1,186.89 / $2,136.41	Professional		$862.26	$1,186.89	$2,136.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $613.41 / $613.41 / $801.30	Professional		$613.41	$613.41	$801.30