Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,666.79 / $5,128.00 / $20,680.40	Facility		$1,666.79	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.72 / $1,195.53 / $2,431.09	Professional		$744.72	$1,195.53	$2,431.09
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 $1,325.00 / $2,094.00 / $8,005.05	Professional		$1,325.00	$2,094.00	$8,005.05
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 $902.38 / $1,664.50 / $2,814.98	Professional		$902.38	$1,664.50	$2,814.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $911.32 / $1,842.32 / $3,280.24	Facility		$911.32	$1,842.32	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.93 / $1,756.82 / $2,886.92	Professional		$832.93	$1,756.82	$2,886.92
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 $1,219.11 / $1,642.84 / $1,842.50	Facility		$1,219.11	$1,642.84	$1,842.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,241.67 / $2,961.46	Facility		$986.25	$1,241.67	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,413.70 / $2,028.34 / $2,494.53	Professional		$1,413.70	$2,028.34	$2,494.53
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 $1,266.33 / $1,788.82 / $2,381.50	Professional		$1,266.33	$1,788.82	$2,381.50
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 $1,071.03 / $1,440.97 / $2,614.41	Professional		$1,071.03	$1,440.97	$2,614.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $757.25 / $757.25 / $1,002.96	Professional		$757.25	$757.25	$1,002.96