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 $952.05 / $1,296.54 / $2,827.55	Professional		$952.05	$1,296.54	$2,827.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $8,263.82 / $17,808.41	Facility		$3,264.85	$8,263.82	$17,808.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.30 / $2,390.02 / $9,056.18	Professional		$1,457.30	$2,390.02	$9,056.18
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 $1,034.08 / $1,846.27 / $3,105.29	Professional		$1,034.08	$1,846.27	$3,105.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $987.57 / $2,004.66 / $2,917.56	Facility		$987.57	$2,004.66	$2,917.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.46 / $1,918.07 / $2,619.86	Professional		$981.46	$1,918.07	$2,619.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $556.88 / $1,980.39	Professional		$116.28	$556.88	$1,980.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,365.68 / $1,989.24 / $2,075.66	Facility		$1,365.68	$1,989.24	$2,075.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,389.80 / $2,218.36	Facility		$738.78	$1,389.80	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,590.21 / $2,270.32 / $2,810.20	Professional		$1,590.21	$2,270.32	$2,810.20
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 $1,417.42 / $2,015.19 / $2,682.87	Professional		$1,417.42	$2,015.19	$2,682.87
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 $1,143.80 / $1,685.60 / $2,988.23	Professional		$1,143.80	$1,685.60	$2,988.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $859.12 / $859.12 / $1,096.05	Professional		$859.12	$859.12	$1,096.05