Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,858.19 / $5,132.00 / $22,024.00	Facility		$1,858.19	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.24 / $1,858.19 / $3,830.80	Professional		$1,281.24	$1,858.19	$3,830.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,318.75 / $4,589.03 / $11,500.00	Facility		$2,318.75	$4,589.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,034.95 / $3,342.92 / $12,593.18	Professional		$2,034.95	$3,342.92	$12,593.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $1,985.59	Facility		$1,005.16	$1,223.70	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.04 / $2,599.48 / $4,395.85	Professional		$1,459.04	$2,599.48	$4,395.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,240.61 / $2,123.06 / $3,686.39	Facility		$1,240.61	$2,123.06	$3,686.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.61 / $2,161.76 / $3,523.76	Professional		$1,240.61	$2,161.76	$3,523.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $821.49 / $2,817.14	Professional		$157.37	$821.49	$2,817.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,811.06 / $2,633.76 / $2,898.42	Facility		$1,811.06	$2,633.76	$2,898.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $1,949.71 / $1,976.98	Facility		$537.44	$1,949.71	$1,976.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,220.73 / $3,184.96 / $3,924.11	Professional		$2,220.73	$3,184.96	$3,924.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,323.45 / $4,552.03 / $8,712.50	Facility		$3,323.45	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,988.45 / $2,813.97 / $3,749.11	Professional		$1,988.45	$2,813.97	$3,749.11
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 $1,631.19 / $2,324.44 / $4,147.07	Professional		$1,631.19	$2,324.44	$4,147.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,195.65 / $1,195.65 / $1,557.01	Professional		$1,195.65	$1,195.65	$1,557.01