Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.97 / $2,164.17 / $18,711.00	Facility		$1,060.97	$2,164.17	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.63 / $1,060.97 / $2,236.75	Professional		$669.63	$1,060.97	$2,236.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,624.41 / $4,440.66 / $11,500.00	Facility		$2,624.41	$4,440.66	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.39 / $1,630.79 / $5,713.92	Professional		$1,053.39	$1,630.79	$5,713.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $1,557.08	Facility		$883.20	$1,075.31	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.47 / $1,308.35 / $2,280.09	Professional		$719.47	$1,308.35	$2,280.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $717.12 / $1,271.02 / $1,911.54	Facility		$717.12	$1,271.02	$1,911.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.23 / $1,239.11 / $1,897.47	Professional		$714.23	$1,239.11	$1,897.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $453.87 / $1,525.94	Professional		$112.66	$453.87	$1,525.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $882.49 / $1,443.85 / $1,577.60	Facility		$882.49	$1,443.85	$1,577.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.20 / $1,050.96 / $1,144.67	Facility		$381.20	$1,050.96	$1,144.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.39 / $1,511.46 / $1,931.99	Professional		$1,053.39	$1,511.46	$1,931.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,319.34 / $8,267.12	Facility		$3,153.55	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $929.29 / $1,396.83 / $1,906.46	Professional		$929.29	$1,396.83	$1,906.46
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 $830.51 / $1,185.24 / $2,129.67	Professional		$830.51	$1,185.24	$2,129.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $637.44 / $722.08 / $872.44	Professional		$637.44	$722.08	$872.44