Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.07 / $5,128.00 / $21,917.86	Facility		$1,366.07	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.12 / $1,006.22 / $1,992.49	Professional		$664.12	$1,006.22	$1,992.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.92 / $1,750.83 / $6,696.90	Professional		$1,081.92	$1,750.83	$6,696.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.49 / $1,395.53 / $2,363.32	Professional		$752.49	$1,395.53	$2,363.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $742.54 / $1,534.82 / $3,280.24	Facility		$742.54	$1,534.82	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.56 / $1,460.15 / $2,824.57	Professional		$685.56	$1,460.15	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $460.83 / $1,508.21	Professional		$78.81	$460.83	$1,508.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $970.45 / $1,342.01 / $1,541.00	Facility		$970.45	$1,342.01	$1,541.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,039.64 / $2,961.46	Facility		$986.25	$1,039.64	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,182.02 / $1,698.30 / $2,086.33	Professional		$1,182.02	$1,698.30	$2,086.33
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 $1,060.29 / $1,496.10 / $1,991.80	Professional		$1,060.29	$1,496.10	$1,991.80
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 $881.99 / $1,189.02 / $2,185.94	Professional		$881.99	$1,189.02	$2,185.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $631.91 / $631.91 / $843.64	Professional		$631.91	$631.91	$843.64