Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.73 / $6,470.00 / $22,024.00	Facility		$1,715.73	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.67 / $1,186.34 / $2,556.89	Professional		$854.67	$1,186.34	$2,556.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $5,002.09 / $11,500.00	Facility		$2,701.16	$5,002.09	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.71 / $2,123.67 / $8,191.13	Professional		$1,323.71	$2,123.67	$8,191.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $1,985.59	Facility		$883.20	$1,075.31	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.40 / $1,672.89 / $2,835.80	Professional		$975.40	$1,672.89	$2,835.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $909.87 / $1,577.95 / $2,372.69	Facility		$909.87	$1,577.95	$2,372.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $889.39 / $1,621.64 / $2,340.32	Professional		$889.39	$1,621.64	$2,340.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.46 / $586.47 / $1,820.66	Professional		$81.46	$586.47	$1,820.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.25 / $1,765.23 / $1,885.38	Facility		$1,258.25	$1,765.23	$1,885.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $1,249.36 / $1,613.81	Facility		$537.44	$1,249.36	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,434.02 / $2,045.78 / $2,552.58	Professional		$1,434.02	$2,045.78	$2,552.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,589.03 / $8,891.67	Facility		$3,434.81	$4,589.03	$8,891.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,274.20 / $1,830.45 / $2,436.92	Professional		$1,274.20	$1,830.45	$2,436.92
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 $1,128.54 / $1,520.68 / $2,655.44	Professional		$1,128.54	$1,520.68	$2,655.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $784.30 / $784.30 / $1,012.81	Professional		$784.30	$784.30	$1,012.81