Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $22,024.00	Facility		$1,733.00	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.79 / $1,205.81 / $2,702.32	Professional		$916.79	$1,205.81	$2,702.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,334.44 / $4,554.63 / $10,072.78	Facility		$1,334.44	$4,554.63	$10,072.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.57 / $2,216.50 / $8,609.03	Professional		$1,373.57	$2,216.50	$8,609.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.84 / $1,715.62 / $2,889.60	Professional		$1,059.84	$1,715.62	$2,889.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $925.04 / $1,659.70 / $2,432.71	Facility		$925.04	$1,659.70	$2,432.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.04 / $1,654.11 / $2,309.62	Professional		$925.04	$1,654.11	$2,309.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.78 / $1,424.92 / $2,499.36	Professional		$251.78	$1,424.92	$2,499.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,357.79 / $1,852.91 / $1,956.40	Facility		$1,357.79	$1,852.91	$1,956.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,321.85 / $1,321.85 / $1,334.44	Facility		$1,321.85	$1,321.85	$1,334.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,496.70 / $2,159.32 / $2,648.73	Professional		$1,496.70	$2,159.32	$2,648.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,589.03 / $8,712.50	Facility		$3,434.81	$4,589.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.12 / $1,899.40 / $2,555.48	Professional		$1,348.12	$1,899.40	$2,555.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,223.46 / $1,638.75 / $2,812.49	Professional		$1,223.46	$1,638.75	$2,812.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $810.53 / $810.53 / $1,004.50	Professional		$810.53	$810.53	$1,004.50