Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.24 / $5,128.00 / $21,917.86	Facility		$1,569.24	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.89 / $1,140.78 / $2,288.82	Professional		$741.89	$1,140.78	$2,288.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.43 / $8,231.65 / $16,103.56	Facility		$1,196.43	$8,231.65	$16,103.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.51 / $2,017.91 / $7,620.53	Professional		$1,231.51	$2,017.91	$7,620.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.12 / $1,586.13 / $2,682.25	Professional		$858.12	$1,586.13	$2,682.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $782.13 / $1,572.12 / $2,262.37	Facility		$782.13	$1,572.12	$2,262.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.13 / $1,527.04 / $2,117.28	Professional		$782.13	$1,527.04	$2,117.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $474.14 / $1,671.39	Professional		$116.13	$474.14	$1,671.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,133.85 / $1,545.69 / $1,754.06	Facility		$1,133.85	$1,545.69	$1,754.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.33 / $1,182.33 / $1,196.43	Facility		$1,182.33	$1,182.33	$1,196.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,346.41 / $1,931.40 / $2,374.79	Professional		$1,346.41	$1,931.40	$2,374.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,430.39 / $8,418.45 / $16,103.56	Facility		$6,430.39	$8,418.45	$16,103.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,205.82 / $1,702.96 / $2,267.19	Professional		$1,205.82	$1,702.96	$2,267.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.23 / $1,392.00 / $2,530.57	Professional		$1,004.23	$1,392.00	$2,530.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $721.64 / $721.64 / $957.19	Professional		$721.64	$721.64	$957.19