Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,724.93 / $20,680.40	Facility		$1,733.00	$6,724.93	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.81 / $1,292.84 / $2,617.21	Professional		$920.81	$1,292.84	$2,617.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,116.10 / $9,172.83 / $20,286.13	Facility		$4,116.10	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,402.26 / $2,269.00 / $8,676.68	Professional		$1,402.26	$2,269.00	$8,676.68
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 $979.60 / $1,801.08 / $3,047.59	Professional		$979.60	$1,801.08	$3,047.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $961.35 / $1,954.99 / $3,280.24	Facility		$961.35	$1,954.99	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.45 / $1,925.98 / $3,054.80	Professional		$901.45	$1,925.98	$3,054.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $515.76 / $1,948.24	Professional		$116.13	$515.76	$1,948.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,333.64 / $1,778.18 / $1,997.27	Facility		$1,333.64	$1,778.18	$1,997.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,345.86 / $2,961.46	Facility		$986.25	$1,345.86	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,531.85 / $2,198.54 / $2,704.07	Professional		$1,531.85	$2,198.54	$2,704.07
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 $1,372.60 / $1,939.08 / $2,581.55	Professional		$1,372.60	$1,939.08	$2,581.55
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 $1,146.59 / $1,570.35 / $2,832.91	Professional		$1,146.59	$1,570.35	$2,832.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $821.58 / $821.58 / $1,083.91	Professional		$821.58	$821.58	$1,083.91