Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.88 / $4,011.00 / $18,711.00	Facility		$1,462.88	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.66 / $1,121.29 / $2,821.00	Professional		$743.66	$1,121.29	$2,821.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,450.22 / $9,172.83 / $17,546.59	Facility		$3,450.22	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.88 / $1,889.31 / $7,239.15	Professional		$1,169.88	$1,889.31	$7,239.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.88 / $1,500.20 / $2,531.36	Professional		$812.88	$1,500.20	$2,531.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $777.34 / $1,595.62 / $3,280.24	Facility		$777.34	$1,595.62	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $728.91 / $1,570.35 / $2,824.57	Professional		$728.91	$1,570.35	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $474.14 / $1,603.14	Professional		$78.85	$474.14	$1,603.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,055.95 / $1,492.60 / $1,666.29	Facility		$1,055.95	$1,492.60	$1,666.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,117.55 / $2,961.46	Facility		$986.25	$1,117.55	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.52 / $1,825.58 / $2,255.96	Professional		$1,275.52	$1,825.58	$2,255.96
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 $1,139.75 / $1,617.74 / $2,153.73	Professional		$1,139.75	$1,617.74	$2,153.73
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 $935.48 / $1,365.65 / $2,358.85	Professional		$935.48	$1,365.65	$2,358.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $687.13 / $687.13 / $907.46	Professional		$687.13	$687.13	$907.46