Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.81 / $5,128.00 / $20,680.40	Facility		$1,432.81	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.40 / $1,068.73 / $2,089.83	Professional		$749.40	$1,068.73	$2,089.83
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 $1,139.31 / $1,846.70 / $7,050.98	Professional		$1,139.31	$1,846.70	$7,050.98
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 $792.52 / $1,473.33 / $2,494.21	Professional		$792.52	$1,473.33	$2,494.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $789.96 / $1,620.40 / $3,280.24	Facility		$789.96	$1,620.40	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.49 / $1,556.57 / $2,824.57	Professional		$732.49	$1,556.57	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $460.83 / $1,569.25	Professional		$113.20	$460.83	$1,569.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,041.74 / $1,417.72 / $1,622.74	Facility		$1,041.74	$1,417.72	$1,622.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,096.26 / $2,961.46	Facility		$986.25	$1,096.26	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.75 / $1,790.80 / $2,197.00	Professional		$1,246.75	$1,790.80	$2,197.00
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 $1,118.04 / $1,575.46 / $2,097.44	Professional		$1,118.04	$1,575.46	$2,097.44
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 $938.00 / $1,227.29 / $2,305.64	Professional		$938.00	$1,227.29	$2,305.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $665.60 / $665.60 / $891.03	Professional		$665.60	$665.60	$891.03