Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.03 / $1,289.59 / $2,620.54	Professional		$891.03	$1,289.59	$2,620.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,851.47 / $9,172.83 / $20,286.13	Facility		$3,851.47	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,375.92 / $2,269.98 / $8,515.58	Professional		$1,375.92	$2,269.98	$8,515.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,830.56 / $4,048.61 / $4,850.68	Professional		$3,830.56	$4,048.61	$4,850.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $927.85 / $1,918.36 / $3,280.24	Facility		$927.85	$1,918.36	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.28 / $1,881.09 / $3,054.80	Professional		$895.28	$1,881.09	$3,054.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $563.31 / $1,926.65	Professional		$116.13	$563.31	$1,926.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,276.66 / $1,765.45 / $1,959.75	Facility		$1,276.66	$1,765.45	$1,959.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,325.48 / $2,961.46	Facility		$986.25	$1,325.48	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,505.65 / $2,165.23 / $2,653.27	Professional		$1,505.65	$2,165.23	$2,653.27
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 $1,351.81 / $1,902.65 / $2,545.80	Professional		$1,351.81	$1,902.65	$2,545.80
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 $1,137.07 / $1,509.18 / $2,765.30	Professional		$1,137.07	$1,509.18	$2,765.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $803.91 / $803.91 / $1,068.72	Professional		$803.91	$803.91	$1,068.72