Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.90 / $5,128.00 / $20,680.40	Facility		$1,419.90	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.72 / $982.74 / $2,157.87	Professional		$734.72	$982.74	$2,157.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,565.90 / $9,172.83 / $20,286.13	Facility		$3,565.90	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.08 / $1,787.94 / $6,776.70	Professional		$1,095.08	$1,787.94	$6,776.70
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 $807.89 / $1,384.44 / $2,349.61	Professional		$807.89	$1,384.44	$2,349.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $836.19 / $1,644.22 / $3,280.24	Facility		$836.19	$1,644.22	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.50 / $1,622.78 / $2,824.57	Professional		$799.50	$1,622.78	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $399.90 / $1,527.03	Professional		$78.68	$399.90	$1,527.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,059.11 / $1,464.62 / $1,559.76	Facility		$1,059.11	$1,464.62	$1,559.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,032.83 / $2,961.46	Facility		$986.25	$1,032.83	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,184.82 / $1,692.46 / $2,111.73	Professional		$1,184.82	$1,692.46	$2,111.73
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 $1,053.35 / $1,514.32 / $2,016.05	Professional		$1,053.35	$1,514.32	$2,016.05
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 $947.39 / $1,268.30 / $2,226.44	Professional		$947.39	$1,268.30	$2,226.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $648.21 / $648.21 / $840.89	Professional		$648.21	$648.21	$840.89