Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,503.62 / $5,128.00 / $20,680.40	Facility		$1,503.62	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.66 / $1,146.76 / $2,266.73	Professional		$813.66	$1,146.76	$2,266.73
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 $1,238.08 / $2,004.97 / $7,660.35	Professional		$1,238.08	$2,004.97	$7,660.35
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 $862.61 / $1,594.83 / $2,697.00	Professional		$862.61	$1,594.83	$2,697.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $872.61 / $1,757.72 / $3,280.24	Facility		$872.61	$1,757.72	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.14 / $1,674.31 / $2,824.57	Professional		$794.14	$1,674.31	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $483.21 / $1,692.11	Professional		$116.13	$483.21	$1,692.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,140.72 / $1,557.35 / $1,763.44	Facility		$1,140.72	$1,557.35	$1,763.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,188.67 / $2,961.46	Facility		$986.25	$1,188.67	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,353.60 / $1,941.76 / $2,387.48	Professional		$1,353.60	$1,941.76	$2,387.48
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 $1,212.29 / $1,712.06 / $2,279.31	Professional		$1,212.29	$1,712.06	$2,279.31
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 $1,012.99 / $1,351.27 / $2,423.85	Professional		$1,012.99	$1,351.27	$2,423.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $725.78 / $725.78 / $963.17	Professional		$725.78	$725.78	$963.17