Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,477.03 / $5,128.00 / $21,917.86	Facility		$1,477.03	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $1,041.70 / $2,070.40	Professional		$717.27	$1,041.70	$2,070.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,094.52 / $14,791.76 / $28,937.08	Facility		$1,094.52	$14,791.76	$28,937.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.60 / $1,884.97 / $6,944.10	Professional		$1,126.60	$1,884.97	$6,944.10
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 $816.50 / $1,440.15 / $2,426.55	Professional		$816.50	$1,440.15	$2,426.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $774.03 / $1,573.56 / $2,174.48	Facility		$774.03	$1,573.56	$2,174.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.87 / $1,517.16 / $2,049.38	Professional		$767.87	$1,517.16	$2,049.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $413.57 / $1,580.38	Professional		$78.68	$413.57	$1,580.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,143.19 / $1,495.20 / $1,604.65	Facility		$1,143.19	$1,495.20	$1,604.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.97 / $1,074.97 / $1,094.52	Facility		$1,074.97	$1,074.97	$1,094.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,229.52 / $1,741.17 / $2,172.50	Professional		$1,229.52	$1,741.17	$2,172.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,555.00 / $15,127.44 / $28,937.08	Facility		$11,555.00	$15,127.44	$28,937.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.33 / $1,557.90 / $2,100.94	Professional		$1,096.33	$1,557.90	$2,100.94
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 $947.72 / $1,256.27 / $2,273.35	Professional		$947.72	$1,256.27	$2,273.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $664.77 / $664.77 / $864.64	Professional		$664.77	$664.77	$864.64