Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.45 / $2,057.67 / $22,024.00	Facility		$1,059.45	$2,057.67	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.36 / $1,059.45 / $2,077.92	Professional		$728.36	$1,059.45	$2,077.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.26 / $8,957.00 / $17,546.59	Facility		$1,096.26	$8,957.00	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.72 / $1,845.94 / $7,059.53	Professional		$1,140.72	$1,845.94	$7,059.53
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 $794.57 / $1,470.09 / $2,489.65	Professional		$794.57	$1,470.09	$2,489.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $757.33 / $1,562.71 / $3,280.24	Facility		$757.33	$1,562.71	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.13 / $1,545.30 / $2,824.57	Professional		$720.13	$1,545.30	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $468.89 / $1,554.22	Professional		$78.85	$468.89	$1,554.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,005.34 / $1,399.08 / $1,624.75	Facility		$1,005.34	$1,399.08	$1,624.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,096.26 / $2,961.46	Facility		$986.25	$1,096.26	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.24 / $1,790.80 / $2,199.71	Professional		$1,246.24	$1,790.80	$2,199.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,118.04 / $1,577.41 / $2,100.05	Professional		$1,118.04	$1,577.41	$2,100.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.50 / $1,310.47 / $2,342.29	Professional		$899.50	$1,310.47	$2,342.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $666.71 / $666.71 / $887.52	Professional		$666.71	$666.71	$887.52