Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.94 / $5,128.00 / $20,680.40	Facility		$1,699.94	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.23 / $1,224.56 / $2,479.44	Professional		$870.23	$1,224.56	$2,479.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,823.97 / $9,172.83 / $20,286.13	Facility		$3,823.97	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.59 / $2,144.21 / $8,203.43	Professional		$1,325.59	$2,144.21	$8,203.43
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 $922.65 / $1,705.07 / $2,883.29	Professional		$922.65	$1,705.07	$2,883.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $924.37 / $1,874.03 / $3,280.24	Facility		$924.37	$1,874.03	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.52 / $1,803.27 / $2,961.23	Professional		$849.52	$1,803.27	$2,961.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $500.20 / $1,854.47	Professional		$116.13	$500.20	$1,854.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,240.19 / $1,692.02 / $1,888.06	Facility		$1,240.19	$1,692.02	$1,888.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,271.11 / $2,961.46	Facility		$986.25	$1,271.11	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.61 / $2,076.44 / $2,556.21	Professional		$1,447.61	$2,076.44	$2,556.21
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 $1,296.36 / $1,833.06 / $2,440.39	Professional		$1,296.36	$1,833.06	$2,440.39
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 $1,059.99 / $1,447.04 / $2,720.78	Professional		$1,059.99	$1,447.04	$2,720.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.58 / $776.58 / $1,029.77	Professional		$776.58	$776.58	$1,029.77