Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.04 / $4,011.00 / $18,711.00	Facility		$1,442.04	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.95 / $998.06 / $2,157.67	Professional		$715.95	$998.06	$2,157.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,172.83 / $17,546.59	Facility		$5,490.98	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.03 / $1,710.88 / $8,062.34	Professional		$1,112.03	$1,710.88	$8,062.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.64 / $1,406.03 / $2,386.23	Professional		$777.64	$1,406.03	$2,386.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $751.80 / $1,538.24 / $3,280.24	Facility		$751.80	$1,538.24	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.62 / $1,531.07 / $2,824.57	Professional		$746.62	$1,531.07	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $414.42 / $1,548.69	Professional		$78.68	$414.42	$1,548.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,050.88 / $1,453.23 / $1,583.88	Facility		$1,050.88	$1,453.23	$1,583.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,047.33 / $2,961.46	Facility		$986.25	$1,047.33	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.08 / $1,718.63 / $2,144.38	Professional		$1,203.08	$1,718.63	$2,144.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,068.14 / $1,537.74 / $2,047.22	Professional		$1,068.14	$1,537.74	$2,047.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.60 / $1,277.51 / $2,261.21	Professional		$897.60	$1,277.51	$2,261.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $658.14 / $658.14 / $854.29	Professional		$658.14	$658.14	$854.29