Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.50 / $10,700.00 / $23,717.40	Facility		$911.50	$10,700.00	$23,717.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.91 / $911.50 / $1,105.05	Professional		$681.91	$911.50	$1,105.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,401.14 / $5,373.50 / $7,286.95	Facility		$1,401.14	$5,373.50	$7,286.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.75 / $2,033.42 / $8,101.43	Professional		$1,212.75	$2,033.42	$8,101.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $2,046.84	Facility		$500.00	$870.49	$2,046.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.62 / $1,459.62 / $1,459.62	Professional		$1,459.62	$1,459.62	$1,459.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,658.81 / $5,158.59 / $14,868.93	Facility		$1,658.81	$5,158.59	$14,868.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,839.97 / $2,839.97 / $2,839.97	Professional		$2,839.97	$2,839.97	$2,839.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $60.00	Professional		$30.00	$30.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $688.16 / $1,183.89 / $1,878.41	Facility		$688.16	$1,183.89	$1,878.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $946.04 / $1,268.63 / $1,500.13	Facility		$946.04	$1,268.63	$1,500.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,281.49 / $1,998.12 / $2,518.11	Professional		$1,281.49	$1,998.12	$2,518.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,934.73 / $5,392.38 / $10,315.01	Facility		$3,934.73	$5,392.38	$10,315.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,212.75 / $1,746.55 / $2,368.73	Professional		$1,212.75	$1,746.55	$2,368.73
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.74 / $1,548.75 / $2,559.37	Professional		$1,023.74	$1,548.75	$2,559.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.77 / $1,009.97 / $1,038.24	Professional		$189.77	$1,009.97	$1,038.24