Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.99 / $5,128.00 / $22,024.00	Facility		$1,304.99	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.27 / $1,249.32 / $2,521.21	Professional		$852.27	$1,249.32	$2,521.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,223.00 / $13,248.98	Facility		$55.00	$8,223.00	$13,248.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,360.87 / $2,275.85 / $8,518.04	Professional		$1,360.87	$2,275.85	$8,518.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.91 / $1,705.09 / $2,881.70	Professional		$954.91	$1,705.09	$2,881.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,056.36 / $1,986.70 / $3,304.04	Facility		$1,056.36	$1,986.70	$3,304.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $910.53 / $1,885.77 / $2,643.47	Professional		$910.53	$1,885.77	$2,643.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.21 / $366.35 / $2,152.54	Professional		$80.21	$366.35	$2,152.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,367.34 / $1,846.13 / $1,938.31	Facility		$1,367.34	$1,846.13	$1,938.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.92 / $1,301.92 / $1,322.10	Facility		$1,301.92	$1,301.92	$1,322.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,379.52 / $2,187.59 / $2,640.40	Professional		$1,379.52	$2,187.59	$2,640.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,069.92 / $9,804.29 / $18,754.53	Facility		$7,069.92	$9,804.29	$18,754.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,537.59 / $1,901.86 / $2,503.52	Professional		$1,537.59	$1,901.86	$2,503.52
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 $1,002.53 / $1,581.25 / $2,775.82	Professional		$1,002.53	$1,581.25	$2,775.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $803.08 / $1,013.09 / $1,013.09	Professional		$803.08	$1,013.09	$1,013.09