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 $877.40 / $1,207.23 / $2,679.35	Professional		$877.40	$1,207.23	$2,679.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,215.22 / $9,172.83 / $20,286.13	Facility		$5,215.22	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.81 / $2,051.64 / $8,623.71	Professional		$1,345.81	$2,051.64	$8,623.71
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 $943.77 / $1,703.14 / $2,883.84	Professional		$943.77	$1,703.14	$2,883.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $969.11 / $2,000.22 / $3,280.24	Facility		$969.11	$2,000.22	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.69 / $1,900.20 / $2,927.44	Professional		$924.69	$1,900.20	$2,927.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $601.05 / $1,875.04	Professional		$81.54	$601.05	$1,875.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,314.45 / $1,817.71 / $1,916.87	Facility		$1,314.45	$1,817.71	$1,916.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,273.83 / $2,961.46	Facility		$986.25	$1,273.83	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,459.71 / $2,080.88 / $2,595.21	Professional		$1,459.71	$2,080.88	$2,595.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,299.14 / $1,861.02 / $2,477.63	Professional		$1,299.14	$1,861.02	$2,477.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.63 / $1,562.56 / $2,743.00	Professional		$1,112.63	$1,562.56	$2,743.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $796.73 / $796.73 / $1,029.71	Professional		$796.73	$796.73	$1,029.71