Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.06 / $3,810.00 / $18,711.00	Facility		$1,513.06	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.50 / $1,404.84 / $2,878.05	Professional		$978.50	$1,404.84	$2,878.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.56 / $7,929.30 / $16,394.00	Facility		$1,790.56	$7,929.30	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.44 / $2,608.37 / $9,469.50	Professional		$1,561.44	$2,608.37	$9,469.50
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 $1,060.06 / $1,980.81 / $3,341.46	Professional		$1,060.06	$1,980.81	$3,341.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,228.50 / $2,255.30 / $3,455.67	Facility		$1,228.50	$2,255.30	$3,455.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.83 / $2,142.52 / $3,028.83	Professional		$1,053.83	$2,142.52	$3,028.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,284.80 / $2,565.56	Professional		$148.17	$1,284.80	$2,565.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.46 / $2,117.19 / $2,214.35	Facility		$1,548.46	$2,117.19	$2,214.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.02 / $1,510.39 / $1,915.04	Facility		$1,301.02	$1,510.39	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,564.02 / $2,501.84 / $3,008.30	Professional		$1,564.02	$2,501.84	$3,008.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,806.07 / $7,956.97 / $15,220.78	Facility		$5,806.07	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,740.36 / $2,172.71 / $2,831.21	Professional		$1,740.36	$2,172.71	$2,831.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.63 / $1,808.40 / $3,174.56	Professional		$1,196.63	$1,808.40	$3,174.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $917.65 / $1,184.06 / $1,184.06	Professional		$917.65	$1,184.06	$1,184.06