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 $900.91 / $1,358.44 / $3,067.82	Professional		$900.91	$1,358.44	$3,067.82
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 $1,516.10 / $2,477.06 / $9,383.93	Professional		$1,516.10	$2,477.06	$9,383.93
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 $1,070.19 / $1,914.55 / $3,247.34	Professional		$1,070.19	$1,914.55	$3,247.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $975.88 / $2,159.61 / $3,421.38	Facility		$975.88	$2,159.61	$3,421.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.88 / $2,070.42 / $3,054.80	Professional		$975.88	$2,070.42	$3,054.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $625.78 / $2,059.03	Professional		$116.28	$625.78	$2,059.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,295.65 / $2,063.60 / $2,159.41	Facility		$1,295.65	$2,063.60	$2,159.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,430.57 / $2,961.46	Facility		$986.25	$1,430.57	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,641.59 / $2,343.12 / $2,923.58	Professional		$1,641.59	$2,343.12	$2,923.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,459.00 / $2,096.50 / $2,791.12	Professional		$1,459.00	$2,096.50	$2,791.12
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.72 / $1,770.79 / $3,084.79	Professional		$951.72	$1,770.79	$3,084.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $897.22 / $897.22 / $1,158.54	Professional		$897.22	$897.22	$1,158.54