Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,633.28 / $5,128.00 / $20,680.40	Facility		$1,633.28	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.78 / $1,128.21 / $2,515.57	Professional		$801.78	$1,128.21	$2,515.57
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 $1,240.03 / $2,057.12 / $7,638.30	Professional		$1,240.03	$2,057.12	$7,638.30
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 $914.65 / $1,592.49 / $2,594.44	Professional		$914.65	$1,592.49	$2,594.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $846.30 / $1,768.16 / $2,709.37	Facility		$846.30	$1,768.16	$2,709.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.30 / $1,708.70 / $2,478.17	Professional		$846.30	$1,708.70	$2,478.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $517.98 / $1,679.53	Professional		$79.43	$517.98	$1,679.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,248.03 / $1,663.38 / $1,763.92	Facility		$1,248.03	$1,663.38	$1,763.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,186.36 / $2,218.36	Facility		$738.78	$1,186.36	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,367.22 / $1,960.26 / $2,354.83	Professional		$1,367.22	$1,960.26	$2,354.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,899.91 / $8,047.87 / $15,403.47	Facility		$4,899.91	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,223.83 / $1,706.61 / $2,298.76	Professional		$1,223.83	$1,706.61	$2,298.76
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 $1,026.00 / $1,463.55 / $2,569.19	Professional		$1,026.00	$1,463.55	$2,569.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $721.64 / $721.64 / $918.47	Professional		$721.64	$721.64	$918.47