Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.78 / $6,211.46 / $22,671.14	Facility		$1,408.78	$6,211.46	$22,671.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.63 / $2,144.64 / $4,956.34	Professional		$818.63	$2,144.64	$4,956.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,349.66 / $16,227.47 / $31,745.76	Facility		$5,349.66	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.30 / $3,261.50 / $13,032.48	Professional		$1,310.30	$3,261.50	$13,032.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $9,427.21	Facility		$1,394.89	$1,698.13	$9,427.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.60 / $2,319.87 / $4,973.47	Professional		$1,018.60	$2,319.87	$4,973.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,080.25 / $2,715.73 / $6,990.88	Facility		$1,080.25	$2,715.73	$6,990.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.25 / $2,344.64 / $6,038.94	Professional		$1,080.25	$2,344.64	$6,038.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.85 / $973.91 / $3,475.61	Professional		$191.85	$973.91	$3,475.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,667.25 / $3,445.53 / $4,368.39	Facility		$1,667.25	$3,445.53	$4,368.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.02 / $2,405.65 / $5,317.93	Facility		$1,771.02	$2,405.65	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.77 / $2,303.00 / $4,422.91	Professional		$1,261.77	$2,303.00	$4,422.91
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 $1,197.94 / $2,442.63 / $4,341.75	Professional		$1,197.94	$2,442.63	$4,341.75
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 $2,147.75 / $3,108.58 / $5,379.91	Professional		$2,147.75	$3,108.58	$5,379.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $833.77 / $1,446.32 / $1,986.87	Professional		$833.77	$1,446.32	$1,986.87