Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,450.06 / $5,128.00 / $20,680.40	Facility		$1,450.06	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.34 / $1,007.31 / $2,621.92	Professional		$793.34	$1,007.31	$2,621.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,096.00 / $9,124.02 / $20,178.18	Facility		$5,096.00	$9,124.02	$20,178.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.58 / $1,840.85 / $6,693.38	Professional		$1,140.58	$1,840.85	$6,693.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,302.92	Facility		$714.97	$870.49	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.11 / $1,555.97 / $2,395.96	Professional		$917.11	$1,555.97	$2,395.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $991.80 / $1,887.23 / $3,021.20	Facility		$991.80	$1,887.23	$3,021.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.85 / $1,836.51 / $2,543.36	Professional		$892.85	$1,836.51	$2,543.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $471.42 / $1,576.48	Professional		$78.79	$471.42	$1,576.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,282.96 / $1,576.84 / $1,774.16	Facility		$1,282.96	$1,576.84	$1,774.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.50 / $1,043.71 / $2,412.73	Facility		$803.50	$1,043.71	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.75 / $1,714.99 / $2,139.85	Professional		$1,200.75	$1,714.99	$2,139.85
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 $1,064.45 / $1,534.48 / $2,056.56	Professional		$1,064.45	$1,534.48	$2,056.56
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 $998.34 / $1,371.12 / $2,349.08	Professional		$998.34	$1,371.12	$2,349.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $665.88 / $665.88 / $862.86	Professional		$665.88	$665.88	$862.86