Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.55 / $5,128.00 / $20,680.40	Facility		$1,286.55	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.91 / $1,029.65 / $1,946.29	Professional		$702.91	$1,029.65	$1,946.29
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 $1,023.59 / $1,682.46 / $6,322.65	Professional		$1,023.59	$1,682.46	$6,322.65
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 $707.33 / $1,329.00 / $2,248.71	Professional		$707.33	$1,329.00	$2,248.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $722.97 / $1,486.21 / $3,280.24	Facility		$722.97	$1,486.21	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.34 / $1,420.57 / $2,824.57	Professional		$663.34	$1,420.57	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $399.98 / $1,413.12	Professional		$78.68	$399.98	$1,413.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $945.74 / $1,307.83 / $1,457.92	Facility		$945.74	$1,307.83	$1,457.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.18 / $986.25 / $2,961.46	Facility		$986.18	$986.25	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.43 / $1,610.98 / $1,973.85	Professional		$1,122.43	$1,610.98	$1,973.85
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 $1,005.77 / $1,415.44 / $1,886.89	Professional		$1,005.77	$1,415.44	$1,886.89
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 $849.25 / $1,090.72 / $2,075.76	Professional		$849.25	$1,090.72	$2,075.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $596.58 / $596.58 / $801.09	Professional		$596.58	$596.58	$801.09