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 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.72 / $1,347.47 / $2,991.84	Professional		$1,006.72	$1,347.47	$2,991.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,418.80 / $7,547.82 / $15,403.47	Facility		$1,418.80	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,491.64 / $2,409.77 / $9,218.18	Professional		$1,491.64	$2,409.77	$9,218.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.99 / $1,900.75 / $3,199.02	Professional		$1,100.99	$1,900.75	$3,199.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,142.11 / $2,136.38 / $2,917.56	Facility		$1,142.11	$2,136.38	$2,917.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $2,105.75 / $2,695.98	Professional		$1,092.00	$2,105.75	$2,695.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $630.33 / $2,037.13	Professional		$81.90	$630.33	$2,037.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,502.59 / $2,031.44 / $2,124.57	Facility		$1,502.59	$2,031.44	$2,124.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,418.80 / $2,218.36	Facility		$738.78	$1,418.80	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,627.20 / $2,317.67 / $2,876.41	Professional		$1,627.20	$2,317.67	$2,876.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,446.98 / $2,062.67 / $2,746.09	Professional		$1,446.98	$2,062.67	$2,746.09
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 $1,276.38 / $1,690.08 / $3,008.66	Professional		$1,276.38	$1,690.08	$3,008.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $888.39 / $888.39 / $1,150.22	Professional		$888.39	$888.39	$1,150.22