Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.78 / $5,132.00 / $22,024.00	Facility		$1,454.78	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.30 / $1,006.05 / $2,230.80	Professional		$730.30	$1,006.05	$2,230.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.21 / $8,957.00 / $17,546.59	Facility		$1,058.21	$8,957.00	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.22 / $1,775.13 / $6,944.85	Professional		$1,129.22	$1,775.13	$6,944.85
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 $818.52 / $1,418.45 / $2,407.81	Professional		$818.52	$1,418.45	$2,407.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $829.76 / $1,662.78 / $3,280.24	Facility		$829.76	$1,662.78	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.40 / $1,622.78 / $2,824.57	Professional		$754.40	$1,622.78	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $418.41 / $1,596.99	Professional		$78.68	$418.41	$1,596.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.61 / $1,507.50 / $1,598.62	Facility		$1,096.61	$1,507.50	$1,598.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,058.21 / $2,961.46	Facility		$986.25	$1,058.21	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.10 / $1,734.62 / $2,164.34	Professional		$1,214.10	$1,734.62	$2,164.34
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 $1,079.23 / $1,552.04 / $2,066.28	Professional		$1,079.23	$1,552.04	$2,066.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,016.00 / $11,604.61 / $18,561.84	Facility		$4,016.00	$11,604.61	$18,561.84
United Facility/Professional Professional Modifier Low / Median / High Price $953.09 / $1,291.05 / $2,281.46	Professional		$953.09	$1,291.05	$2,281.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $665.05 / $665.05 / $862.06	Professional		$665.05	$665.05	$862.06