Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.45 / $6,470.00 / $24,827.00	Facility		$1,559.45	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.87 / $1,080.03 / $2,390.61	Professional		$784.87	$1,080.03	$2,390.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,050.58 / $16,595.73 / $31,745.76	Facility		$6,050.58	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.41 / $1,853.70 / $14,641.99	Professional		$1,159.41	$1,853.70	$14,641.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $8,781.54	Facility		$1,394.89	$1,698.13	$8,781.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.56 / $1,520.51 / $2,564.25	Professional		$888.56	$1,520.51	$2,564.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $868.69 / $1,771.13 / $7,701.12	Facility		$868.69	$1,771.13	$7,701.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.60 / $1,742.17 / $6,631.36	Professional		$810.60	$1,742.17	$6,631.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $420.53 / $1,652.06	Professional		$78.54	$420.53	$1,652.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,170.07 / $1,618.05 / $1,703.40	Facility		$1,170.07	$1,618.05	$1,703.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.77 / $1,159.41 / $5,317.93	Facility		$1,134.77	$1,159.41	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.89 / $1,853.70 / $2,301.31	Professional		$1,298.89	$1,853.70	$2,301.31
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 $1,157.31 / $1,657.40 / $2,224.64	Professional		$1,157.31	$1,657.40	$2,224.64
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 $1,013.40 / $1,366.40 / $2,415.61	Professional		$1,013.40	$1,366.40	$2,415.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.63 / $705.63 / $915.93	Professional		$705.63	$705.63	$915.93