Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.98 / $2,374.07 / $19,900.00	Facility		$1,332.98	$2,374.07	$19,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.32 / $1,332.98 / $2,740.19	Professional		$743.32	$1,332.98	$2,740.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,242.26 / $16,227.47 / $31,745.76	Facility		$5,242.26	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.77 / $2,023.54 / $7,518.16	Professional		$1,267.77	$2,023.54	$7,518.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $9,420.07	Facility		$1,005.16	$1,223.70	$9,420.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.47 / $1,594.94 / $2,894.43	Professional		$899.47	$1,594.94	$2,894.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $897.56 / $1,656.87 / $6,346.81	Facility		$897.56	$1,656.87	$6,346.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $890.96 / $1,602.10 / $4,086.89	Professional		$890.96	$1,602.10	$4,086.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $574.58 / $2,001.14	Professional		$116.38	$574.58	$2,001.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,195.95 / $1,843.84 / $2,053.55	Facility		$1,195.95	$1,843.84	$2,053.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $1,400.71 / $5,317.93	Facility		$1,359.00	$1,400.71	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,244.65 / $1,829.50 / $2,539.67	Professional		$1,244.65	$1,829.50	$2,539.67
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 $1,178.09 / $1,708.12 / $2,471.31	Professional		$1,178.09	$1,708.12	$2,471.31
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 $1,166.79 / $1,675.84 / $2,930.12	Professional		$1,166.79	$1,675.84	$2,930.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.98 / $853.05 / $1,135.39	Professional		$812.98	$853.05	$1,135.39