Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.41 / $5,128.00 / $20,680.40	Facility		$1,397.41	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.26 / $969.10 / $2,117.53	Professional		$717.26	$969.10	$2,117.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.04 / $1,760.68 / $6,684.60	Professional		$1,080.04	$1,760.68	$6,684.60
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 $784.14 / $1,362.51 / $2,319.44	Professional		$784.14	$1,362.51	$2,319.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $806.82 / $1,622.78 / $3,280.24	Facility		$806.82	$1,622.78	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $771.42 / $1,587.86 / $2,824.57	Professional		$771.42	$1,587.86	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $412.06 / $1,521.65	Professional		$78.68	$412.06	$1,521.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,065.02 / $1,438.49 / $1,538.32	Facility		$1,065.02	$1,438.49	$1,538.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,012.00 / $2,961.46	Facility		$986.25	$1,012.00	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,163.24 / $1,669.19 / $2,082.69	Professional		$1,163.24	$1,669.19	$2,082.69
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 $1,032.10 / $1,493.50 / $1,988.34	Professional		$1,032.10	$1,493.50	$1,988.34
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 $929.06 / $1,361.56 / $2,185.90	Professional		$929.06	$1,361.56	$2,185.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $639.37 / $639.37 / $831.56	Professional		$639.37	$639.37	$831.56