Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.91 / $12,619.36 / $25,612.66	Facility		$1,110.91	$12,619.36	$25,612.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.60 / $1,110.91 / $1,395.28	Professional		$974.60	$1,110.91	$1,395.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14,342.46 / $36,606.86 / $70,860.36	Facility		$14,342.46	$36,606.86	$70,860.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,473.50 / $2,508.58 / $9,829.58	Professional		$1,473.50	$2,508.58	$9,829.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.15 / $740.15 / $886.78	Professional		$740.15	$740.15	$886.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44,948.87 / $46,833.03 / $112,680.05	Facility		$44,948.87	$46,833.03	$112,680.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,445.57 / $3,445.57 / $3,445.57	Professional		$3,445.57	$3,445.57	$3,445.57
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 $1,353.94 / $1,753.41 / $2,256.56	Facility		$1,353.94	$1,753.41	$2,256.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,435.56 / $1,435.56 / $1,539.18	Facility		$1,435.56	$1,435.56	$1,539.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,628.23 / $2,384.88 / $3,055.11	Professional		$1,628.23	$2,384.88	$3,055.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,464.08 / $2,081.28 / $2,792.45	Professional		$1,464.08	$2,081.28	$2,792.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,363.10 / $1,838.60 / $3,657.48	Professional		$1,363.10	$1,838.60	$3,657.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,373.03 / $1,373.03 / $1,373.03	Professional		$1,373.03	$1,373.03	$1,373.03