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 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.92 / $1,219.75 / $2,696.69	Professional		$885.92	$1,219.75	$2,696.69
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 $1,380.08 / $2,208.07 / $8,409.53	Professional		$1,380.08	$2,208.07	$8,409.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.20 / $1,719.37 / $2,911.90	Professional		$991.20	$1,719.37	$2,911.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,006.87 / $2,026.73 / $3,280.24	Facility		$1,006.87	$2,026.73	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $968.11 / $1,979.25 / $2,955.53	Professional		$968.11	$1,979.25	$2,955.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $592.51 / $1,895.31	Professional		$81.09	$592.51	$1,895.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,328.01 / $1,816.08 / $1,935.63	Facility		$1,328.01	$1,816.08	$1,935.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,286.07 / $2,961.46	Facility		$986.25	$1,286.07	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,473.58 / $2,100.86 / $2,620.61	Professional		$1,473.58	$2,100.86	$2,620.61
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 $1,311.62 / $1,879.24 / $2,501.87	Professional		$1,311.62	$1,879.24	$2,501.87
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 $1,113.91 / $1,571.49 / $2,769.04	Professional		$1,113.91	$1,571.49	$2,769.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $804.46 / $804.46 / $1,039.35	Professional		$804.46	$804.46	$1,039.35