Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.43 / $5,128.00 / $21,917.86	Facility		$1,327.43	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.92 / $1,137.20 / $2,747.44	Professional		$727.92	$1,137.20	$2,747.44
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 $1,206.47 / $1,999.78 / $7,518.60	Professional		$1,206.47	$1,999.78	$7,518.60
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 $834.10 / $1,526.09 / $2,658.81	Professional		$834.10	$1,526.09	$2,658.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $778.41 / $1,638.96 / $3,280.24	Facility		$778.41	$1,638.96	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $778.41 / $1,610.52 / $2,824.57	Professional		$778.41	$1,610.52	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $481.46 / $1,692.11	Professional		$116.13	$481.46	$1,692.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $965.30 / $1,492.76 / $1,730.61	Facility		$965.30	$1,492.76	$1,730.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,170.55 / $2,961.46	Facility		$986.25	$1,170.55	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.97 / $1,912.16 / $2,343.04	Professional		$1,329.97	$1,912.16	$2,343.04
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 $1,193.81 / $1,680.19 / $2,242.77	Professional		$1,193.81	$1,680.19	$2,242.77
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 $927.42 / $1,355.46 / $2,459.55	Professional		$927.42	$1,355.46	$2,459.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $710.04 / $710.04 / $945.60	Professional		$710.04	$710.04	$945.60