Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.77 / $5,128.00 / $20,680.40	Facility		$1,507.77	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.02 / $1,116.27 / $2,199.16	Professional		$791.02	$1,116.27	$2,199.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.12 / $9,172.83 / $20,286.13	Facility		$3,478.12	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.46 / $1,948.66 / $7,451.55	Professional		$1,222.46	$1,948.66	$7,451.55
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 $838.61 / $1,551.03 / $2,624.06	Professional		$838.61	$1,551.03	$2,624.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $839.11 / $1,714.69 / $3,280.24	Facility		$839.11	$1,714.69	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.98 / $1,636.18 / $2,824.57	Professional		$770.98	$1,636.18	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $474.14 / $1,672.64	Professional		$116.13	$474.14	$1,672.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.57 / $1,498.79 / $1,715.20	Facility		$1,123.57	$1,498.79	$1,715.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,156.06 / $2,961.46	Facility		$986.25	$1,156.06	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,315.59 / $1,888.48 / $2,322.17	Professional		$1,315.59	$1,888.48	$2,322.17
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 $1,179.02 / $1,665.23 / $2,216.96	Professional		$1,179.02	$1,665.23	$2,216.96
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 $994.14 / $1,383.42 / $2,472.64	Professional		$994.14	$1,383.42	$2,472.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.35 / $705.35 / $937.56	Professional		$705.35	$705.35	$937.56