Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,396.48 / $3,810.00 / $18,711.00	Facility		$1,396.48	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.42 / $1,333.33 / $2,653.31	Professional		$901.42	$1,333.33	$2,653.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.56 / $9,503.68 / $16,394.00	Facility		$1,790.56	$9,503.68	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,439.67 / $2,436.21 / $9,095.78	Professional		$1,439.67	$2,436.21	$9,095.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,311.26	Facility		$625.25	$761.81	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.66 / $1,822.21 / $3,079.63	Professional		$1,014.66	$1,822.21	$3,079.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,129.11 / $2,107.81 / $3,407.53	Facility		$1,129.11	$2,107.81	$3,407.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $974.99 / $2,046.46 / $2,903.86	Professional		$974.99	$2,046.46	$2,903.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $383.59 / $2,317.65	Professional		$80.52	$383.59	$2,317.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,450.89 / $1,974.24 / $2,070.30	Facility		$1,450.89	$1,974.24	$2,070.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,208.98 / $1,412.13 / $1,915.04	Facility		$1,208.98	$1,412.13	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,472.16 / $2,336.71 / $2,820.41	Professional		$1,472.16	$2,336.71	$2,820.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,324.56 / $7,956.97 / $15,220.78	Facility		$5,324.56	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,640.85 / $2,031.37 / $2,654.31	Professional		$1,640.85	$2,031.37	$2,654.31
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 $1,100.58 / $1,730.71 / $2,965.06	Professional		$1,100.58	$1,730.71	$2,965.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.57 / $1,084.41 / $1,084.41	Professional		$858.57	$1,084.41	$1,084.41