Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.23 / $5,128.00 / $20,680.40	Facility		$1,657.23	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.65 / $1,196.83 / $2,417.16	Professional		$793.65	$1,196.83	$2,417.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,057.15 / $9,172.83 / $20,286.13	Facility		$4,057.15	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,315.59 / $2,096.28 / $8,017.35	Professional		$1,315.59	$2,096.28	$8,017.35
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 $903.24 / $1,666.34 / $2,818.11	Professional		$903.24	$1,666.34	$2,818.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $910.89 / $1,828.22 / $3,280.24	Facility		$910.89	$1,828.22	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $834.81 / $1,742.95 / $2,890.77	Professional		$834.81	$1,742.95	$2,890.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $496.38 / $1,821.88	Professional		$116.13	$496.38	$1,821.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,207.84 / $1,633.78 / $1,845.18	Facility		$1,207.84	$1,633.78	$1,845.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,243.03 / $2,961.46	Facility		$986.25	$1,243.03	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,415.24 / $2,030.56 / $2,498.15	Professional		$1,415.24	$2,030.56	$2,498.15
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 $1,267.73 / $1,791.42 / $2,384.96	Professional		$1,267.73	$1,791.42	$2,384.96
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 $1,058.40 / $1,457.74 / $2,617.23	Professional		$1,058.40	$1,457.74	$2,617.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.08 / $758.08 / $1,004.03	Professional		$758.08	$758.08	$1,004.03