Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $21,917.86	Facility		$1,733.00	$5,116.62	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.44 / $1,489.76 / $3,101.85	Professional		$1,073.44	$1,489.76	$3,101.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,983.34 / $9,352.42 / $20,286.13	Facility		$4,983.34	$9,352.42	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.19 / $2,639.58 / $9,541.12	Professional		$1,594.19	$2,639.58	$9,541.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,229.69 / $2,041.70 / $3,485.14	Professional		$1,229.69	$2,041.70	$3,485.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,104.25 / $2,301.05 / $3,421.38	Facility		$1,104.25	$2,301.05	$3,421.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,104.25 / $2,218.57 / $3,187.32	Professional		$1,104.25	$2,218.57	$3,187.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $663.26 / $2,276.54	Professional		$157.37	$663.26	$2,276.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,565.48 / $2,153.07 / $2,270.63	Facility		$1,565.48	$2,153.07	$2,270.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,535.67 / $2,961.46	Facility		$986.25	$1,535.67	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,721.74 / $2,463.80 / $3,074.16	Professional		$1,721.74	$2,463.80	$3,074.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,566.18 / $2,204.48 / $2,967.75	Professional		$1,566.18	$2,204.48	$2,967.75
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 $1,360.50 / $1,843.05 / $3,235.39	Professional		$1,360.50	$1,843.05	$3,235.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $941.94 / $941.94 / $1,236.22	Professional		$941.94	$941.94	$1,236.22