Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.86 / $5,128.00 / $22,024.00	Facility		$1,355.86	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.63 / $1,253.43 / $2,605.17	Professional		$882.63	$1,253.43	$2,605.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.02 / $8,921.56 / $26,542.00	Facility		$1,689.02	$8,921.56	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.76 / $2,247.96 / $9,072.81	Professional		$1,373.76	$2,247.96	$9,072.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $3,302.92	Facility		$1,005.16	$1,223.70	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.57 / $1,731.95 / $2,924.01	Professional		$949.57	$1,731.95	$2,924.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $2,070.98 / $3,384.98	Facility		$1,078.00	$2,070.98	$3,384.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.80 / $1,942.51 / $2,896.56	Professional		$954.80	$1,942.51	$2,896.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $1,135.65 / $2,272.66	Professional		$98.76	$1,135.65	$2,272.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,277.14 / $1,776.84 / $1,939.65	Facility		$1,277.14	$1,776.84	$1,939.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,296.49 / $1,323.02 / $1,994.21	Facility		$1,296.49	$1,323.02	$1,994.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,373.76 / $2,198.23 / $2,653.26	Professional		$1,373.76	$2,198.23	$2,653.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,812.14 / $9,124.02 / $17,453.22	Facility		$6,812.14	$9,124.02	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,531.17 / $1,903.17 / $2,493.63	Professional		$1,531.17	$1,903.17	$2,493.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.95 / $1,619.94 / $2,789.33	Professional		$1,076.95	$1,619.94	$2,789.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $804.46 / $1,042.30 / $1,042.30	Professional		$804.46	$1,042.30	$1,042.30