Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,688.71 / $5,128.00 / $20,680.40	Facility		$1,688.71	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.10 / $1,168.51 / $2,622.74	Professional		$850.10	$1,168.51	$2,622.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,256.29 / $16,227.47 / $31,745.76	Facility		$1,256.29	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.29 / $2,002.21 / $8,385.95	Professional		$1,256.29	$2,002.21	$8,385.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $6,910.09	Facility		$714.97	$870.49	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.46 / $1,646.54 / $2,787.69	Professional		$954.46	$1,646.54	$2,787.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $907.57 / $1,912.55 / $6,059.92	Facility		$907.57	$1,912.55	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.16 / $1,854.51 / $5,218.14	Professional		$885.16	$1,854.51	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.21 / $555.45 / $1,825.44	Professional		$80.21	$555.45	$1,825.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,279.56 / $1,774.83 / $1,841.83	Facility		$1,279.56	$1,774.83	$1,841.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.36 / $1,256.29 / $5,317.93	Facility		$1,225.36	$1,256.29	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.30 / $2,001.70 / $2,493.62	Professional		$1,407.30	$2,001.70	$2,493.62
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 $1,249.71 / $1,794.91 / $2,410.32	Professional		$1,249.71	$1,794.91	$2,410.32
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 $1,089.36 / $1,514.49 / $2,644.50	Professional		$1,089.36	$1,514.49	$2,644.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $766.36 / $766.36 / $993.78	Professional		$766.36	$766.36	$993.78