Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.10 / $5,132.00 / $22,024.00	Facility		$1,306.10	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.92 / $977.97 / $1,905.02	Professional		$672.92	$977.97	$1,905.02
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 $1,017.00 / $1,703.87 / $6,278.33	Professional		$1,017.00	$1,703.87	$6,278.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $3,740.43	Facility		$1,005.16	$1,223.70	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.49 / $1,320.16 / $2,244.52	Professional		$708.49	$1,320.16	$2,244.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $712.09 / $1,468.35 / $3,280.24	Facility		$712.09	$1,468.35	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.28 / $1,402.87 / $2,824.57	Professional		$659.28	$1,402.87	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $399.13 / $1,406.62	Professional		$78.68	$399.13	$1,406.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.45 / $1,279.70 / $1,461.94	Facility		$933.45	$1,279.70	$1,461.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $985.73 / $986.25 / $2,961.46	Facility		$985.73	$986.25	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.78 / $1,575.28 / $1,961.15	Professional		$1,116.78	$1,575.28	$1,961.15
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 $1,005.31 / $1,407.45 / $1,914.45	Professional		$1,005.31	$1,407.45	$1,914.45
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 $845.50 / $1,151.30 / $2,014.30	Professional		$845.50	$1,151.30	$2,014.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $597.41 / $597.41 / $799.22	Professional		$597.41	$597.41	$799.22