Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.17 / $3,016.00 / $18,711.00	Facility		$1,287.17	$3,016.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.74 / $983.44 / $1,984.43	Professional		$619.74	$983.44	$1,984.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.56 / $7,929.30 / $26,542.00	Facility		$1,790.56	$7,929.30	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $991.50 / $1,671.37 / $6,034.88	Professional		$991.50	$1,671.37	$6,034.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,285.42 / $3,311.26	Facility		$1,877.15	$2,285.42	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.66 / $1,255.76 / $2,122.30	Professional		$686.66	$1,255.76	$2,122.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $778.50 / $1,439.52 / $3,028.83	Facility		$778.50	$1,439.52	$3,028.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.85 / $1,408.81 / $2,327.09	Professional		$670.85	$1,408.81	$2,327.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $778.46 / $1,591.25	Professional		$98.67	$778.46	$1,591.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $982.45 / $1,346.70 / $1,404.99	Facility		$982.45	$1,346.70	$1,404.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.02 / $958.33 / $1,915.04	Facility		$954.02	$958.33	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.95 / $1,585.72 / $1,913.95	Professional		$1,000.95	$1,585.72	$1,913.95
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 $1,126.71 / $1,378.56 / $1,816.00	Professional		$1,126.71	$1,378.56	$1,816.00
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 $761.91 / $1,192.98 / $2,012.11	Professional		$761.91	$1,192.98	$2,012.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $581.66 / $753.90 / $753.90	Professional		$581.66	$753.90	$753.90