Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.92 / $6,470.00 / $22,024.00	Facility		$1,319.92	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.98 / $912.82 / $1,964.53	Professional		$661.98	$912.82	$1,964.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,634.87 / $9,172.83 / $20,286.13	Facility		$4,634.87	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.48 / $1,630.61 / $6,298.05	Professional		$1,017.48	$1,630.61	$6,298.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $3,740.43	Facility		$1,005.16	$1,223.70	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.28 / $1,286.97 / $2,183.94	Professional		$740.28	$1,286.97	$2,183.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $752.19 / $1,522.78 / $3,280.24	Facility		$752.19	$1,522.78	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.37 / $1,474.65 / $2,824.57	Professional		$683.37	$1,474.65	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $397.59 / $1,445.59	Professional		$78.54	$397.59	$1,445.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $998.62 / $1,347.67 / $1,449.21	Facility		$998.62	$1,347.67	$1,449.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $958.55 / $986.25 / $2,961.46	Facility		$958.55	$986.25	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.07 / $1,572.50 / $1,962.06	Professional		$1,101.07	$1,572.50	$1,962.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.59 / $1,406.99 / $1,873.16	Professional		$977.59	$1,406.99	$1,873.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,492.00 / $11,941.00	Facility		$1,950.00	$3,492.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.72 / $1,168.89 / $2,069.06	Professional		$878.72	$1,168.89	$2,069.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.11 / $602.11 / $782.10	Professional		$602.11	$602.11	$782.10