Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.57 / $1,684.64 / $3,755.80	Professional		$1,181.57	$1,684.64	$3,755.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $8,263.82 / $18,263.52	Facility		$3,264.85	$8,263.82	$18,263.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,959.62 / $3,081.91 / $12,482.10	Professional		$1,959.62	$3,081.91	$12,482.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.85 / $2,345.08 / $4,310.08	Professional		$1,363.85	$2,345.08	$4,310.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,267.28 / $2,210.87 / $3,386.35	Facility		$1,267.28	$2,210.87	$3,386.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,267.28 / $2,192.16 / $3,375.12	Professional		$1,267.28	$2,192.16	$3,375.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $875.53 / $2,781.29	Professional		$157.37	$875.53	$2,781.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,681.39 / $2,591.56 / $2,872.96	Facility		$1,681.39	$2,591.56	$2,872.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,811.55 / $2,218.36	Facility		$738.78	$1,811.55	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,056.73 / $3,045.88 / $3,889.64	Professional		$2,056.73	$3,045.88	$3,889.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,847.54 / $2,662.40 / $3,709.41	Professional		$1,847.54	$2,662.40	$3,709.41
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 $1,398.02 / $2,243.44 / $3,864.89	Professional		$1,398.02	$2,243.44	$3,864.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,193.17 / $1,193.17 / $1,529.97	Professional		$1,193.17	$1,193.17	$1,529.97