Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.88 / $2,064.40 / $14,464.32	Facility		$710.88	$2,064.40	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.01 / $958.35 / $2,855.82	Professional		$375.01	$958.35	$2,855.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,396.45 / $12,053.91	Facility		$55.00	$5,396.45	$12,053.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $630.39 / $1,804.49 / $14,184.47	Professional		$630.39	$1,804.49	$14,184.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $1,041.18 / $1,746.00	Facility		$714.97	$1,041.18	$1,746.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.94 / $1,149.72 / $2,971.43	Professional		$461.94	$1,149.72	$2,971.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $543.38 / $1,258.92 / $7,027.54	Facility		$543.38	$1,258.92	$7,027.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $1,135.51 / $6,061.00	Professional		$519.54	$1,135.51	$6,061.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.95 / $1,513.79 / $2,568.44	Professional		$252.95	$1,513.79	$2,568.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,090.22 / $1,751.68 / $5,368.89	Facility		$1,090.22	$1,751.68	$5,368.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.15 / $1,248.52 / $1,284.75	Facility		$904.15	$1,248.52	$1,284.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $1,248.52 / $2,458.57	Professional		$629.00	$1,248.52	$2,458.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $639.17 / $1,289.67 / $2,217.60	Professional		$639.17	$1,289.67	$2,217.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,088.33 / $2,002.82 / $4,046.12	Professional		$1,088.33	$2,002.82	$4,046.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $422.32 / $735.44 / $1,025.31	Professional		$422.32	$735.44	$1,025.31