Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.00 / $1,472.99 / $2,980.63	Professional		$1,089.00	$1,472.99	$2,980.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $8,052.47 / $17,808.41	Facility		$3,264.85	$8,052.47	$17,808.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.71 / $2,468.59 / $11,189.53	Professional		$1,601.71	$2,468.59	$11,189.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.97 / $2,007.67 / $3,404.16	Professional		$1,190.97	$2,007.67	$3,404.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,199.63 / $2,240.46 / $2,971.01	Facility		$1,199.63	$2,240.46	$2,971.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,146.99 / $2,192.16 / $2,877.21	Professional		$1,146.99	$2,192.16	$2,877.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $697.22 / $2,215.99	Professional		$119.43	$697.22	$2,215.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,619.45 / $2,188.30 / $2,281.35	Facility		$1,619.45	$2,188.30	$2,281.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,522.53 / $2,218.36	Facility		$738.78	$1,522.53	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,735.10 / $2,487.14 / $3,088.68	Professional		$1,735.10	$2,487.14	$3,088.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,552.78 / $2,214.88 / $2,948.73	Professional		$1,552.78	$2,214.88	$2,948.73
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 $1,375.49 / $1,840.06 / $3,260.49	Professional		$1,375.49	$1,840.06	$3,260.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $946.63 / $946.63 / $1,203.75	Professional		$946.63	$946.63	$1,203.75