Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.37 / $4,011.00 / $18,711.00	Facility		$1,459.37	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.20 / $1,024.57 / $2,297.27	Professional		$756.20	$1,024.57	$2,297.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,317.93 / $16,394.00 / $31,745.76	Facility		$5,317.93	$16,394.00	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.61 / $1,716.98 / $8,985.31	Professional		$1,102.61	$1,716.98	$8,985.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $6,910.09	Facility		$625.25	$761.81	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.52 / $1,456.52 / $2,408.76	Professional		$862.52	$1,456.52	$2,408.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $848.68 / $1,734.00 / $6,059.92	Facility		$848.68	$1,734.00	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.94 / $1,705.20 / $5,218.14	Professional		$791.94	$1,705.20	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $428.50 / $1,563.28	Professional		$78.68	$428.50	$1,563.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,128.96 / $1,544.34 / $1,594.60	Facility		$1,128.96	$1,544.34	$1,594.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.51 / $1,071.21 / $5,317.93	Facility		$1,050.51	$1,071.21	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.85 / $1,716.06 / $2,126.23	Professional		$1,204.85	$1,716.06	$2,126.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.38 / $1,540.95 / $2,063.60	Professional		$1,071.38	$1,540.95	$2,063.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.64 / $1,329.35 / $2,265.06	Professional		$962.64	$1,329.35	$2,265.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $652.07 / $652.07 / $855.08	Professional		$652.07	$652.07	$855.08