Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $6,470.00 / $24,827.00	Facility		$1,560.00	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.94 / $1,420.27 / $2,763.77	Professional		$866.94	$1,420.27	$2,763.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,407.56 / $9,101.25 / $17,812.14	Facility		$1,407.56	$9,101.25	$17,812.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.14 / $2,491.15 / $8,926.20	Professional		$1,412.14	$2,491.15	$8,926.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.25 / $1,961.00 / $3,302.92	Facility		$1,258.25	$1,961.00	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.78 / $1,778.00 / $3,109.81	Professional		$1,173.78	$1,778.00	$3,109.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,296.76 / $2,087.19 / $3,144.37	Facility		$1,296.76	$2,087.19	$3,144.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,296.76 / $2,088.06 / $3,144.37	Professional		$1,296.76	$2,088.06	$3,144.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $1,059.96 / $2,319.97	Professional		$92.82	$1,059.96	$2,319.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,448.44 / $1,946.01 / $2,063.60	Facility		$1,448.44	$1,946.01	$2,063.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $885.53 / $1,373.04 / $1,407.56	Facility		$885.53	$1,373.04	$1,407.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,422.64 / $2,335.96 / $2,793.87	Professional		$1,422.64	$2,335.96	$2,793.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,812.14 / $9,118.81 / $17,453.22	Facility		$6,812.14	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,383.95 / $1,987.52 / $2,654.15	Professional		$1,383.95	$1,987.52	$2,654.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,940.66 / $16,315.00	Facility		$1,615.00	$2,940.66	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,264.10 / $1,551.16 / $2,964.10	Professional		$1,264.10	$1,551.16	$2,964.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,111.20 / $1,111.20 / $1,111.20	Professional		$1,111.20	$1,111.20	$1,111.20