Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.83 / $5,128.00 / $20,680.40	Facility		$1,672.83	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.76 / $1,406.22 / $3,016.36	Professional		$934.76	$1,406.22	$3,016.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.23 / $2,520.86 / $9,717.83	Professional		$1,556.23	$2,520.86	$9,717.83
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 $1,056.95 / $1,938.31 / $3,360.63	Professional		$1,056.95	$1,938.31	$3,360.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $932.25 / $1,988.05 / $3,369.37	Facility		$932.25	$1,988.05	$3,369.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.68 / $1,911.73 / $3,074.78	Professional		$944.68	$1,911.73	$3,074.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $631.16 / $2,165.29	Professional		$116.28	$631.16	$2,165.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,182.66 / $1,869.60 / $2,236.46	Facility		$1,182.66	$1,869.60	$2,236.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,485.84 / $2,961.46	Facility		$986.25	$1,485.84	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,702.22 / $2,427.19 / $3,027.90	Professional		$1,702.22	$2,427.19	$3,027.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,515.36 / $2,171.31 / $2,890.71	Professional		$1,515.36	$2,171.31	$2,890.71
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 $967.59 / $1,766.05 / $3,178.90	Professional		$967.59	$1,766.05	$3,178.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $928.97 / $928.97 / $1,194.20	Professional		$928.97	$928.97	$1,194.20