Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.19 / $1,285.82 / $2,858.72	Professional		$934.19	$1,285.82	$2,858.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,390.19 / $4,554.63 / $8,712.50	Facility		$1,390.19	$4,554.63	$8,712.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,430.96 / $2,258.92 / $8,854.79	Professional		$1,430.96	$2,258.92	$8,854.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,000.00	Facility		$714.97	$870.49	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.10 / $1,810.12 / $3,064.01	Professional		$1,014.10	$1,810.12	$3,064.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $964.72 / $1,637.25 / $2,567.35	Facility		$964.72	$1,637.25	$2,567.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.72 / $1,585.95 / $2,452.25	Professional		$964.72	$1,585.95	$2,452.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $619.89 / $1,954.41	Professional		$81.90	$619.89	$1,954.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,410.38 / $1,950.37 / $2,038.14	Facility		$1,410.38	$1,950.37	$2,038.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,357.64 / $1,357.64 / $1,390.19	Facility		$1,357.64	$1,357.64	$1,390.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,553.73 / $2,217.78 / $2,759.40	Professional		$1,553.73	$2,217.78	$2,759.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,384.61 / $1,978.76 / $2,634.37	Professional		$1,384.61	$1,978.76	$2,634.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,229.76 / $1,643.90 / $2,898.71	Professional		$1,229.76	$1,643.90	$2,898.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $846.15 / $846.15 / $1,088.08	Professional		$846.15	$846.15	$1,088.08