Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.50 / $5,128.00 / $20,680.40	Facility		$1,029.50	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.14 / $1,029.50 / $2,038.00	Professional		$598.14	$1,029.50	$2,038.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.22 / $10,166.93 / $19,848.13	Facility		$1,961.22	$10,166.93	$19,848.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.78 / $1,884.18 / $6,964.13	Professional		$1,090.78	$1,884.18	$6,964.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.68 / $1,285.00 / $4,636.17	Facility		$796.68	$1,285.00	$4,636.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.28 / $1,341.81 / $2,433.75	Professional		$884.28	$1,341.81	$2,433.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $972.66 / $1,618.40 / $4,240.71	Facility		$972.66	$1,618.40	$4,240.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.66 / $1,621.10 / $4,065.76	Professional		$972.66	$1,621.10	$4,065.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $377.48 / $1,569.32	Professional		$71.55	$377.48	$1,569.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,095.64 / $1,503.48 / $1,609.34	Facility		$1,095.64	$1,503.48	$1,609.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.53 / $1,097.71 / $1,961.22	Facility		$1,069.53	$1,097.71	$1,961.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,097.71 / $1,820.07 / $2,178.85	Professional		$1,097.71	$1,820.07	$2,178.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,832.97 / $10,161.12 / $19,448.18	Facility		$6,832.97	$10,161.12	$19,448.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,078.03 / $1,476.03 / $2,054.26	Professional		$1,078.03	$1,476.03	$2,054.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,691.40 / $20,943.74	Facility		$2,155.00	$12,691.40	$20,943.74
United Facility/Professional Professional Modifier Low / Median / High Price $941.99 / $1,185.59 / $2,290.25	Professional		$941.99	$1,185.59	$2,290.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $874.59 / $874.59 / $874.59	Professional		$874.59	$874.59	$874.59