Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $5,128.00 / $22,024.00	Facility		$1,125.00	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.13 / $995.65 / $2,007.55	Professional		$683.13	$995.65	$2,007.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $13,486.75 / $21,602.23	Facility		$9,886.41	$13,486.75	$21,602.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.10 / $1,781.42 / $8,379.35	Professional		$1,065.10	$1,781.42	$8,379.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,076.00 / $1,258.00	Facility		$1,005.16	$1,076.00	$1,258.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.23 / $1,363.04 / $2,303.61	Professional		$778.23	$1,363.04	$2,303.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $844.12 / $1,621.78 / $5,167.68	Facility		$844.12	$1,621.78	$5,167.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.05 / $1,541.67 / $3,215.17	Professional		$729.05	$1,541.67	$3,215.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.21 / $324.67 / $1,675.63	Professional		$80.21	$324.67	$1,675.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,087.80 / $1,476.31 / $1,548.37	Facility		$1,087.80	$1,476.31	$1,548.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,037.36 / $1,037.36 / $1,056.13	Facility		$1,037.36	$1,037.36	$1,056.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.20 / $1,746.27 / $2,107.73	Professional		$1,099.20	$1,746.27	$2,107.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,931.42 / $16,351.48 / $31,278.54	Facility		$11,931.42	$16,351.48	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,225.15 / $1,519.25 / $1,997.88	Professional		$1,225.15	$1,519.25	$1,997.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $847.02 / $1,292.82 / $2,215.82	Professional		$847.02	$1,292.82	$2,215.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $641.86 / $811.38 / $811.38	Professional		$641.86	$811.38	$811.38