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 $924.03 / $1,290.72 / $2,785.28	Professional		$924.03	$1,290.72	$2,785.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $8,052.47 / $17,808.41	Facility		$3,264.85	$8,052.47	$17,808.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.60 / $2,367.38 / $8,907.29	Professional		$1,436.60	$2,367.38	$8,907.29
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 $1,025.58 / $1,832.42 / $3,063.30	Professional		$1,025.58	$1,832.42	$3,063.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $979.65 / $1,980.33 / $2,917.56	Facility		$979.65	$1,980.33	$2,917.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.65 / $1,934.00 / $2,604.02	Professional		$979.65	$1,934.00	$2,604.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $556.88 / $1,966.55	Professional		$116.28	$556.88	$1,966.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,433.25 / $1,966.12 / $2,049.52	Facility		$1,433.25	$1,966.12	$2,049.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,374.86 / $2,218.36	Facility		$738.78	$1,374.86	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,576.34 / $2,245.90 / $2,770.28	Professional		$1,576.34	$2,245.90	$2,770.28
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 $1,402.17 / $1,986.57 / $2,655.03	Professional		$1,402.17	$1,986.57	$2,655.03
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 $1,189.42 / $1,697.32 / $2,962.16	Professional		$1,189.42	$1,697.32	$2,962.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $847.25 / $847.25 / $1,081.82	Professional		$847.25	$847.25	$1,081.82