Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.41 / $4,011.00 / $18,711.00	Facility		$1,255.41	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.27 / $1,052.96 / $2,258.28	Professional		$712.27	$1,052.96	$2,258.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,403.52 / $5,682.43 / $12,100.72	Facility		$3,403.52	$5,682.43	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.85 / $1,953.23 / $7,831.43	Professional		$1,212.85	$1,953.23	$7,831.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,190.81	Facility		$625.25	$761.81	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.56 / $1,445.65 / $2,582.71	Professional		$814.56	$1,445.65	$2,582.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.16 / $1,304.73 / $2,245.23	Facility		$630.16	$1,304.73	$2,245.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.05 / $1,300.82 / $2,121.71	Professional		$652.05	$1,300.82	$2,121.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.71 / $340.47 / $1,793.91	Professional		$73.71	$340.47	$1,793.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $1,429.45 / $1,741.33	Facility		$938.60	$1,429.45	$1,741.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $1,142.01 / $1,795.87	Facility		$598.07	$1,142.01	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.67 / $1,889.47 / $2,357.55	Professional		$1,318.67	$1,889.47	$2,357.55
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 $1,164.70 / $1,690.60 / $2,250.73	Professional		$1,164.70	$1,690.60	$2,250.73
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $839.52 / $1,404.49 / $2,438.64	Professional		$839.52	$1,404.49	$2,438.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $722.19 / $722.19 / $922.28	Professional		$722.19	$722.19	$922.28