Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.58 / $5,128.00 / $21,917.86	Facility		$1,953.58	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.32 / $1,953.58 / $4,401.87	Professional		$1,424.32	$1,953.58	$4,401.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,120.94 / $8,418.45 / $16,103.56	Facility		$2,120.94	$8,418.45	$16,103.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.13 / $3,571.49 / $13,509.38	Professional		$2,183.13	$3,571.49	$13,509.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,623.17 / $2,757.22 / $4,665.47	Professional		$1,623.17	$2,757.22	$4,665.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,489.95 / $3,054.87 / $4,273.67	Facility		$1,489.95	$3,054.87	$4,273.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,477.46 / $2,992.53 / $3,910.20	Professional		$1,477.46	$2,992.53	$3,910.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $896.87 / $3,003.78	Professional		$157.37	$896.87	$3,003.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,197.16 / $2,997.58 / $3,109.47	Facility		$2,197.16	$2,997.58	$3,109.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,068.85 / $2,068.85 / $2,120.94	Facility		$2,068.85	$2,068.85	$2,120.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,368.62 / $3,379.58 / $4,209.85	Professional		$2,368.62	$3,379.58	$4,209.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,430.39 / $8,418.45 / $16,103.56	Facility		$6,430.39	$8,418.45	$16,103.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,109.94 / $3,018.88 / $4,019.11	Professional		$2,109.94	$3,018.88	$4,019.11
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 $1,879.08 / $2,535.50 / $4,450.96	Professional		$1,879.08	$2,535.50	$4,450.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,292.00 / $1,292.00 / $1,657.30	Professional		$1,292.00	$1,292.00	$1,657.30