Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.76 / $5,128.00 / $24,827.00	Facility		$1,412.76	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.52 / $1,009.73 / $2,037.43	Professional		$692.52	$1,009.73	$2,037.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,052.32 / $7,184.56 / $10,160.00	Facility		$1,052.32	$7,184.56	$10,160.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.74 / $1,845.22 / $6,881.40	Professional		$1,124.74	$1,845.22	$6,881.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.62 / $1,377.48 / $2,327.01	Professional		$781.62	$1,377.48	$2,327.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $731.60 / $1,505.45 / $1,953.38	Facility		$731.60	$1,505.45	$1,953.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.60 / $1,495.64 / $1,958.23	Professional		$731.60	$1,495.64	$1,958.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $886.21 / $1,818.42	Professional		$98.49	$886.21	$1,818.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.61 / $1,491.36 / $1,565.79	Facility		$1,096.61	$1,491.36	$1,565.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.32 / $2,010.99 / $3,875.03	Facility		$1,052.32	$2,010.99	$3,875.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.04 / $1,769.85 / $2,136.19	Professional		$1,115.04	$1,769.85	$2,136.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,064.08 / $8,064.08 / $12,850.27	Facility		$8,064.08	$8,064.08	$12,850.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,242.81 / $1,536.34 / $2,023.84	Professional		$1,242.81	$1,536.34	$2,023.84
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.17 / $1,279.30 / $2,245.76	Professional		$857.17	$1,279.30	$2,245.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $649.04 / $817.87 / $817.87	Professional		$649.04	$817.87	$817.87