Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.26 / $7,920.26 / $20,680.40	Facility		$1,664.26	$7,920.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.06 / $1,160.93 / $2,514.36	Professional		$886.06	$1,160.93	$2,514.36
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 $1,277.14 / $2,049.86 / $7,902.45	Professional		$1,277.14	$2,049.86	$7,902.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.38 / $1,622.69 / $2,750.91	Professional		$902.38	$1,622.69	$2,750.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $914.80 / $1,874.89 / $3,280.24	Facility		$914.80	$1,874.89	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $857.81 / $1,788.71 / $2,880.24	Professional		$857.81	$1,788.71	$2,880.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $505.26 / $1,810.53	Professional		$78.79	$505.26	$1,810.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,231.59 / $1,703.14 / $1,819.05	Facility		$1,231.59	$1,703.14	$1,819.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,204.53 / $2,961.46	Facility		$986.25	$1,204.53	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,384.18 / $1,973.81 / $2,462.78	Professional		$1,384.18	$1,973.81	$2,462.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $9,167.59 / $17,546.59	Facility		$6,013.44	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,228.46 / $1,766.05 / $2,351.19	Professional		$1,228.46	$1,766.05	$2,351.19
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 $1,063.66 / $1,411.74 / $2,559.30	Professional		$1,063.66	$1,411.74	$2,559.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $754.49 / $754.49 / $988.95	Professional		$754.49	$754.49	$988.95