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 $984.62 / $1,245.68 / $2,947.31	Professional		$984.62	$1,245.68	$2,947.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,215.22 / $9,172.83 / $20,286.13	Facility		$5,215.22	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.85 / $2,268.13 / $8,353.79	Professional		$1,400.85	$2,268.13	$8,353.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.63 / $1,856.37 / $3,011.14	Professional		$1,048.63	$1,856.37	$3,011.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,006.22 / $2,062.60 / $3,421.38	Facility		$1,006.22	$2,062.60	$3,421.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.05 / $2,039.71 / $2,967.52	Professional		$969.05	$2,039.71	$2,967.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $579.51 / $1,922.73	Professional		$117.55	$579.51	$1,922.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,429.13 / $1,962.34 / $2,006.65	Facility		$1,429.13	$1,962.34	$2,006.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,325.93 / $2,961.46	Facility		$986.25	$1,325.93	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.65 / $2,165.98 / $2,701.34	Professional		$1,513.65	$2,165.98	$2,701.34
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 $1,352.27 / $1,937.13 / $2,578.94	Professional		$1,352.27	$1,937.13	$2,578.94
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 $1,144.79 / $1,701.14 / $2,844.37	Professional		$1,144.79	$1,701.14	$2,844.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $827.37 / $827.37 / $1,047.83	Professional		$827.37	$827.37	$1,047.83