Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.03 / $2,738.46 / $9,278.35	Facility		$1,025.03	$2,738.46	$9,278.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.04 / $1,025.03 / $1,730.65	Professional		$691.04	$1,025.03	$1,730.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $524.15 / $1,518.92 / $4,471.83	Facility		$524.15	$1,518.92	$4,471.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.03 / $2,101.83 / $8,021.85	Professional		$1,112.03	$2,101.83	$8,021.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.01 / $1,819.18 / $2,209.80	Facility		$675.01	$1,819.18	$2,209.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.35 / $1,777.93 / $2,961.21	Professional		$1,020.35	$1,777.93	$2,961.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $345.85 / $1,611.61 / $2,482.44	Facility		$345.85	$1,611.61	$2,482.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.80 / $1,874.98 / $2,582.48	Professional		$892.80	$1,874.98	$2,582.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.33 / $1,630.31 / $2,750.00	Professional		$293.33	$1,630.31	$2,750.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,271.59 / $1,653.08 / $1,822.40	Facility		$1,271.59	$1,653.08	$1,822.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,090.36 / $1,090.36 / $1,243.04	Facility		$1,090.36	$1,090.36	$1,243.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,402.40 / $2,073.46 / $2,486.21	Professional		$1,402.40	$2,073.46	$2,486.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $524.15 / $1,480.97 / $2,888.51	Facility		$524.15	$1,480.97	$2,888.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,112.03 / $1,788.13 / $2,443.10	Professional		$1,112.03	$1,788.13	$2,443.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,508.33 / $1,968.13 / $3,093.07	Facility		$1,508.33	$1,968.13	$3,093.07
United Facility/Professional Professional Modifier Low / Median / High Price $895.68 / $1,017.63 / $2,364.73	Professional		$895.68	$1,017.63	$2,364.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,159.67 / $1,159.67 / $1,159.67	Professional		$1,159.67	$1,159.67	$1,159.67