Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.32 / $1,342.93 / $2,957.18	Professional		$920.32	$1,342.93	$2,957.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,403.52 / $5,750.27 / $12,100.72	Facility		$3,403.52	$5,750.27	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.43 / $2,549.91 / $10,130.10	Professional		$1,574.43	$2,549.91	$10,130.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $2,190.81 / $2,285.42	Facility		$625.25	$2,190.81	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.52 / $1,910.04 / $3,302.76	Professional		$1,041.52	$1,910.04	$3,302.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $982.55 / $1,792.29 / $2,752.57	Facility		$982.55	$1,792.29	$2,752.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.55 / $1,738.11 / $2,624.83	Professional		$982.55	$1,738.11	$2,624.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $499.79 / $2,233.06	Professional		$132.63	$499.79	$2,233.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,265.50 / $1,848.92 / $2,242.48	Facility		$1,265.50	$1,848.92	$2,242.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $1,475.42 / $1,795.87	Facility		$598.07	$1,475.42	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,701.37 / $2,433.27 / $3,036.06	Professional		$1,701.37	$2,433.27	$3,036.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,504.73 / $2,177.15 / $2,898.50	Professional		$1,504.73	$2,177.15	$2,898.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.33 / $1,821.59 / $3,146.39	Professional		$1,145.33	$1,821.59	$3,146.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $930.62 / $930.62 / $1,169.65	Professional		$930.62	$930.62	$1,169.65