Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,678.40 / $5,128.00 / $20,680.40	Facility		$1,678.40	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.21 / $1,160.84 / $2,559.42	Professional		$857.21	$1,160.84	$2,559.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.06 / $2,143.73 / $8,009.40	Professional		$1,301.06	$2,143.73	$8,009.40
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 $943.46 / $1,636.48 / $2,774.49	Professional		$943.46	$1,636.48	$2,774.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $895.97 / $1,879.20 / $3,280.24	Facility		$895.97	$1,879.20	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.36 / $1,807.92 / $2,824.57	Professional		$882.36	$1,807.92	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.46 / $586.21 / $1,820.66	Professional		$81.46	$586.21	$1,820.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,274.00 / $1,742.00 / $1,843.17	Facility		$1,274.00	$1,742.00	$1,843.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,222.65 / $2,961.46	Facility		$986.25	$1,222.65	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,401.65 / $1,999.98 / $2,495.42	Professional		$1,401.65	$1,999.98	$2,495.42
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 $1,246.94 / $1,789.47 / $2,382.37	Professional		$1,246.94	$1,789.47	$2,382.37
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 $1,072.15 / $1,491.77 / $2,626.76	Professional		$1,072.15	$1,491.77	$2,626.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $765.54 / $765.54 / $991.07	Professional		$765.54	$765.54	$991.07