Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.04 / $5,128.00 / $20,680.40	Facility		$1,475.04	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.44 / $1,020.33 / $2,167.16	Professional		$706.44	$1,020.33	$2,167.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,043.20 / $9,172.83 / $20,286.13	Facility		$3,043.20	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.43 / $1,846.22 / $7,037.55	Professional		$1,137.43	$1,846.22	$7,037.55
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 $802.71 / $1,421.46 / $2,438.84	Professional		$802.71	$1,421.46	$2,438.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $756.16 / $1,638.26 / $3,280.24	Facility		$756.16	$1,638.26	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.16 / $1,607.04 / $2,824.57	Professional		$756.16	$1,607.04	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $423.57 / $1,624.14	Professional		$78.54	$423.57	$1,624.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,037.50 / $1,547.70 / $1,620.06	Facility		$1,037.50	$1,547.70	$1,620.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,073.16 / $2,961.46	Facility		$986.25	$1,073.16	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.08 / $1,757.89 / $2,193.37	Professional		$1,232.08	$1,757.89	$2,193.37
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 $1,094.48 / $1,572.86 / $2,093.98	Professional		$1,094.48	$1,572.86	$2,093.98
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 $812.43 / $1,306.68 / $2,315.28	Professional		$812.43	$1,306.68	$2,315.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $673.88 / $673.88 / $872.32	Professional		$673.88	$673.88	$872.32