Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.30 / $1,928.77 / $17,100.00	Facility		$1,348.30	$1,928.77	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.03 / $1,348.30 / $2,378.23	Professional		$744.03	$1,348.30	$2,378.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,521.80 / $4,488.33 / $11,500.00	Facility		$2,521.80	$4,488.33	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.94 / $2,002.57 / $7,097.28	Professional		$1,256.94	$2,002.57	$7,097.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,557.08	Facility		$625.25	$761.81	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.04 / $1,506.69 / $2,867.80	Professional		$755.04	$1,506.69	$2,867.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $1,216.75 / $2,081.15	Facility		$675.54	$1,216.75	$2,081.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.54 / $1,216.75 / $2,048.89	Professional		$675.54	$1,216.75	$2,048.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $557.14 / $1,886.27	Professional		$79.30	$557.14	$1,886.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.45 / $1,554.80 / $1,924.91	Facility		$960.45	$1,554.80	$1,924.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.20 / $1,312.96 / $1,334.99	Facility		$381.20	$1,312.96	$1,334.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.64 / $1,850.01 / $2,436.32	Professional		$1,294.64	$1,850.01	$2,436.32
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 $1,157.28 / $1,741.04 / $2,391.92	Professional		$1,157.28	$1,741.04	$2,391.92
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 $879.67 / $1,436.97 / $2,776.84	Professional		$879.67	$1,436.97	$2,776.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $780.72 / $879.92 / $1,082.76	Professional		$780.72	$879.92	$1,082.76