Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.13 / $5,116.62 / $20,680.40	Facility		$1,090.13	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.95 / $1,090.13 / $2,416.73	Professional		$791.95	$1,090.13	$2,416.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,593.40 / $9,172.83 / $20,286.13	Facility		$3,593.40	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.33 / $1,950.95 / $7,518.83	Professional		$1,219.33	$1,950.95	$7,518.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.54 / $1,537.16 / $2,603.66	Professional		$891.54	$1,537.16	$2,603.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $901.28 / $1,811.52 / $3,280.24	Facility		$901.28	$1,811.52	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.04 / $1,738.10 / $2,854.21	Professional		$821.04	$1,738.10	$2,854.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $522.77 / $1,673.59	Professional		$79.45	$522.77	$1,673.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,216.67 / $1,645.52 / $1,730.61	Facility		$1,216.67	$1,645.52	$1,730.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,148.35 / $2,961.46	Facility		$986.25	$1,148.35	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.38 / $1,877.84 / $2,343.04	Professional		$1,317.38	$1,877.84	$2,343.04
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 $1,171.17 / $1,680.19 / $2,236.88	Professional		$1,171.17	$1,680.19	$2,236.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.78 / $1,328.95 / $2,436.40	Professional		$1,031.78	$1,328.95	$2,436.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $718.60 / $718.60 / $928.91	Professional		$718.60	$718.60	$928.91