Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.27 / $5,128.00 / $20,680.40	Facility		$1,614.27	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.74 / $1,184.98 / $2,354.48	Professional		$827.74	$1,184.98	$2,354.48
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 $1,276.89 / $2,039.21 / $7,779.45	Professional		$1,276.89	$2,039.21	$7,779.45
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 $880.46 / $1,626.05 / $2,756.64	Professional		$880.46	$1,626.05	$2,756.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $893.49 / $1,820.53 / $3,280.24	Facility		$893.49	$1,820.53	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.98 / $1,746.42 / $2,867.88	Professional		$821.98	$1,746.42	$2,867.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $481.46 / $1,724.61	Professional		$116.13	$481.46	$1,724.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,157.63 / $1,590.58 / $1,790.91	Facility		$1,157.63	$1,590.58	$1,790.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,212.23 / $2,961.46	Facility		$986.25	$1,212.23	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,376.72 / $1,980.24 / $2,424.67	Professional		$1,376.72	$1,980.24	$2,424.67
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 $1,236.31 / $1,738.74 / $2,328.21	Professional		$1,236.31	$1,738.74	$2,328.21
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 $1,060.99 / $1,359.04 / $2,587.55	Professional		$1,060.99	$1,359.04	$2,587.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $734.34 / $734.34 / $981.14	Professional		$734.34	$734.34	$981.14