Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,831.76 / $5,128.00 / $21,917.86	Facility		$1,831.76	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.83 / $1,831.76 / $3,874.02	Professional		$1,294.83	$1,831.76	$3,874.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,938.59 / $16,547.20 / $31,745.76	Facility		$1,938.59	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.44 / $3,090.99 / $17,154.97	Professional		$1,995.44	$3,090.99	$17,154.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $6,910.09	Facility		$765.00	$870.49	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,462.57 / $2,675.87 / $4,325.13	Professional		$1,462.57	$2,675.87	$4,325.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,449.64 / $3,044.27 / $6,059.92	Facility		$1,449.64	$3,044.27	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,406.17 / $2,951.89 / $5,218.14	Professional		$1,406.17	$2,951.89	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $831.18 / $2,811.92	Professional		$157.08	$831.18	$2,811.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,070.27 / $2,763.08 / $2,862.91	Facility		$2,070.27	$2,763.08	$2,862.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,904.41 / $1,904.41 / $1,938.59	Facility		$1,904.41	$1,904.41	$1,938.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,183.14 / $3,110.96 / $3,847.92	Professional		$2,183.14	$3,110.96	$3,847.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,676.54 / $16,595.73 / $31,745.76	Facility		$12,676.54	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,942.25 / $2,759.33 / $3,684.80	Professional		$1,942.25	$2,759.33	$3,684.80
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 $1,697.49 / $2,268.19 / $4,075.57	Professional		$1,697.49	$2,268.19	$4,075.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,181.01 / $1,181.01 / $1,536.82	Professional		$1,181.01	$1,181.01	$1,536.82