Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.69 / $1,172.82 / $2,659.44	Professional		$813.69	$1,172.82	$2,659.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,334.90 / $2,682.56 / $11,500.00	Facility		$1,334.90	$2,682.56	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.32 / $2,204.79 / $8,832.98	Professional		$1,373.32	$2,204.79	$8,832.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,132.06	Facility		$714.97	$870.49	$1,132.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.14 / $1,672.94 / $2,886.59	Professional		$914.14	$1,672.94	$2,886.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $752.27 / $1,333.15 / $2,318.69	Facility		$752.27	$1,333.15	$2,318.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.72 / $1,360.92 / $2,302.53	Professional		$762.72	$1,360.92	$2,302.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $406.15 / $2,011.73	Professional		$99.77	$406.15	$2,011.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,109.84 / $1,709.79 / $1,957.07	Facility		$1,109.84	$1,709.79	$1,957.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $1,284.71 / $1,334.90	Facility		$308.82	$1,284.71	$1,334.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,484.37 / $2,123.57 / $2,649.64	Professional		$1,484.37	$2,123.57	$2,649.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.98 / $2,581.55 / $4,941.05	Facility		$1,674.98	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,310.23 / $1,900.05 / $2,529.59	Professional		$1,310.23	$1,900.05	$2,529.59
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.47 / $1,532.71 / $2,789.33	Professional		$1,014.47	$1,532.71	$2,789.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $811.91 / $811.91 / $1,024.00	Professional		$811.91	$811.91	$1,024.00