Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.59 / $1,328.67 / $2,592.87	Professional		$963.59	$1,328.67	$2,592.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,404.36 / $15,599.20 / $31,745.76	Facility		$1,404.36	$15,599.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.54 / $2,348.90 / $8,861.03	Professional		$1,445.54	$2,348.90	$8,861.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.40 / $1,837.98 / $3,172.68	Professional		$971.40	$1,837.98	$3,172.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $996.31 / $1,992.04 / $5,194.27	Facility		$996.31	$1,992.04	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.21 / $1,884.78 / $4,127.78	Professional		$912.21	$1,884.78	$4,127.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $574.47 / $1,986.88	Professional		$116.13	$574.47	$1,986.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,260.67 / $1,751.61 / $2,058.91	Facility		$1,260.67	$1,751.61	$2,058.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,392.07 / $1,392.07 / $1,404.36	Facility		$1,392.07	$1,392.07	$1,404.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,585.79 / $2,274.02 / $2,787.52	Professional		$1,585.79	$2,274.02	$2,787.52
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 $1,419.73 / $1,998.93 / $2,661.22	Professional		$1,419.73	$1,998.93	$2,661.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,155.90 / $1,697.85 / $2,980.51	Professional		$1,155.90	$1,697.85	$2,980.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $837.87 / $837.87 / $1,112.55	Professional		$837.87	$837.87	$1,112.55