Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,998.41 / $5,132.00 / $22,024.00	Facility		$1,998.41	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.80 / $1,998.41 / $4,216.22	Professional		$1,404.80	$1,998.41	$4,216.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,450.22 / $9,172.83 / $20,286.13	Facility		$3,450.22	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,191.59 / $3,590.34 / $13,563.45	Professional		$2,191.59	$3,590.34	$13,563.45
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 $1,532.26 / $2,795.57 / $4,723.16	Professional		$1,532.26	$2,795.57	$4,723.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,489.44 / $2,880.24 / $3,964.22	Facility		$1,489.44	$2,880.24	$3,964.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.99 / $2,824.57 / $3,881.71	Professional		$1,434.99	$2,824.57	$3,881.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $905.50 / $3,058.16	Professional		$157.37	$905.50	$3,058.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,060.09 / $2,848.84 / $3,121.53	Facility		$2,060.09	$2,848.84	$3,121.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $2,093.77 / $2,961.46	Facility		$986.25	$2,093.77	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,386.65 / $3,420.28 / $4,226.18	Professional		$2,386.65	$3,420.28	$4,226.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,135.36 / $3,030.59 / $4,034.69	Professional		$2,135.36	$3,030.59	$4,034.69
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,707.41 / $2,407.89 / $4,334.21	Professional		$1,707.41	$2,407.89	$4,334.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.96 / $1,288.96 / $1,681.36	Professional		$1,288.96	$1,288.96	$1,681.36