Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.48 / $4,011.00 / $18,711.00	Facility		$1,465.48	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.53 / $1,004.62 / $2,234.69	Professional		$735.53	$1,004.62	$2,234.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.46 / $8,957.00 / $17,546.59	Facility		$1,065.46	$8,957.00	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,134.13 / $1,835.62 / $6,991.58	Professional		$1,134.13	$1,835.62	$6,991.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.13 / $1,428.88 / $2,423.78	Professional		$835.13	$1,428.88	$2,423.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $820.41 / $1,673.25 / $3,280.24	Facility		$820.41	$1,673.25	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.85 / $1,625.09 / $2,824.57	Professional		$759.85	$1,625.09	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $816.99 / $1,798.83	Professional		$93.33	$816.99	$1,798.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,102.01 / $1,524.25 / $1,609.34	Facility		$1,102.01	$1,524.25	$1,609.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,065.46 / $2,961.46	Facility		$986.25	$1,065.46	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,223.35 / $1,746.25 / $2,178.85	Professional		$1,223.35	$1,746.25	$2,178.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,086.61 / $1,562.45 / $2,080.13	Professional		$1,086.61	$1,562.45	$2,080.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,492.00 / $11,941.00	Facility		$1,950.00	$3,492.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $959.48 / $1,319.52 / $2,298.84	Professional		$959.48	$1,319.52	$2,298.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $669.19 / $669.19 / $867.35	Professional		$669.19	$669.19	$867.35