Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.45 / $5,132.00 / $22,024.00	Facility		$1,386.45	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.55 / $1,001.62 / $2,116.42	Professional		$712.55	$1,001.62	$2,116.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.02 / $15,449.66 / $31,745.76	Facility		$1,771.02	$15,449.66	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.85 / $1,670.49 / $8,296.79	Professional		$1,082.85	$1,670.49	$8,296.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.89 / $1,383.29 / $2,343.85	Professional		$796.89	$1,383.29	$2,343.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $790.47 / $1,631.06 / $5,194.27	Facility		$790.47	$1,631.06	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $765.70 / $1,607.76 / $4,127.78	Professional		$765.70	$1,607.76	$4,127.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $410.67 / $1,497.84	Professional		$78.68	$410.67	$1,497.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,069.29 / $1,418.32 / $1,542.34	Facility		$1,069.29	$1,418.32	$1,542.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,029.22 / $1,052.01 / $5,317.93	Facility		$1,029.22	$1,052.01	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.68 / $1,673.55 / $2,088.14	Professional		$1,179.68	$1,673.55	$2,088.14
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 $1,049.66 / $1,513.33 / $2,020.48	Professional		$1,049.66	$1,513.33	$2,020.48
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 $924.30 / $1,261.68 / $2,216.79	Professional		$924.30	$1,261.68	$2,216.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $640.75 / $640.75 / $835.85	Professional		$640.75	$640.75	$835.85