Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,389.88 / $10,122.46 / $27,982.24	Facility		$2,389.88	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.50 / $2,389.88 / $2,622.61	Professional		$698.50	$2,389.88	$2,622.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,627.63 / $4,493.72 / $17,528.03	Professional		$2,627.63	$4,493.72	$17,528.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,361.55 / $2,361.55 / $2,829.40	Professional		$2,361.55	$2,361.55	$2,829.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,667.34 / $6,403.45 / $26,311.49	Facility		$4,667.34	$6,403.45	$26,311.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,576.34 / $6,240.53 / $8,678.54	Professional		$4,576.34	$6,240.53	$8,678.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.90 / $1,415.46 / $6,092.87	Facility		$239.90	$1,415.46	$6,092.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $2,744.74 / $6,526.97	Facility		$2,173.66	$2,744.74	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $4,604.10 / $5,448.04	Professional		$3,000.00	$4,604.10	$5,448.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,150.38 / $3,906.78 / $5,394.59	Professional		$3,150.38	$3,906.78	$5,394.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.12 / $3,136.64 / $5,521.36	Professional		$976.12	$3,136.64	$5,521.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.41 / $1,700.93 / $2,192.03	Professional		$311.41	$1,700.93	$2,192.03