Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.07 / $5,128.00 / $20,680.40	Facility		$1,436.07	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.44 / $1,002.34 / $2,120.19	Professional		$710.44	$1,002.34	$2,120.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,513.49 / $9,172.83 / $20,286.13	Facility		$3,513.49	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.38 / $1,812.84 / $6,889.50	Professional		$1,114.38	$1,812.84	$6,889.50
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 $787.44 / $1,400.20 / $2,391.65	Professional		$787.44	$1,400.20	$2,391.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $821.28 / $1,658.78 / $3,280.24	Facility		$821.28	$1,658.78	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.32 / $1,609.50 / $2,824.57	Professional		$745.32	$1,609.50	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $399.90 / $1,566.41	Professional		$78.68	$399.90	$1,566.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,087.31 / $1,491.42 / $1,587.23	Facility		$1,087.31	$1,491.42	$1,587.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,054.58 / $2,961.46	Facility		$986.25	$1,054.58	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,198.18 / $1,722.72 / $2,148.92	Professional		$1,198.18	$1,722.72	$2,148.92
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 $1,075.54 / $1,540.99 / $2,051.55	Professional		$1,075.54	$1,540.99	$2,051.55
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 $946.30 / $1,263.91 / $2,234.42	Professional		$946.30	$1,263.91	$2,234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $657.32 / $657.32 / $852.19	Professional		$657.32	$657.32	$852.19