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 $949.66 / $1,294.59 / $2,848.92	Professional		$949.66	$1,294.59	$2,848.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.12 / $9,172.83 / $20,286.13	Facility		$3,478.12	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.89 / $2,344.35 / $8,926.04	Professional		$1,482.89	$2,344.35	$8,926.04
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 $1,051.06 / $1,826.79 / $3,093.97	Professional		$1,051.06	$1,826.79	$3,093.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,071.14 / $2,126.98 / $3,366.54	Facility		$1,071.14	$2,126.98	$3,366.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,024.14 / $2,090.17 / $3,054.80	Professional		$1,024.14	$2,090.17	$3,054.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $619.06 / $2,003.41	Professional		$81.54	$619.06	$2,003.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,417.08 / $1,920.22 / $2,054.89	Facility		$1,417.08	$1,920.22	$2,054.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,363.98 / $2,961.46	Facility		$986.25	$1,363.98	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,564.52 / $2,229.71 / $2,782.08	Professional		$1,564.52	$2,229.71	$2,782.08
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 $1,391.08 / $1,995.02 / $2,656.02	Professional		$1,391.08	$1,995.02	$2,656.02
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 $1,251.60 / $1,674.76 / $2,892.76	Professional		$1,251.60	$1,674.76	$2,892.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $854.15 / $854.15 / $1,105.94	Professional		$854.15	$854.15	$1,105.94