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 $967.15 / $1,396.94 / $2,881.57	Professional		$967.15	$1,396.94	$2,881.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.96 / $18,220.34 / $35,644.43	Facility		$1,397.96	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.03 / $2,339.73 / $11,477.92	Professional		$1,479.03	$2,339.73	$11,477.92
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 $1,107.74 / $1,798.46 / $3,039.49	Professional		$1,107.74	$1,798.46	$3,039.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,109.80 / $2,075.25 / $3,006.56	Facility		$1,109.80	$2,075.25	$3,006.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,062.75 / $1,985.22 / $2,862.92	Professional		$1,062.75	$1,985.22	$2,862.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $609.69 / $1,951.23	Professional		$116.51	$609.69	$1,951.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,450.89 / $1,947.52 / $2,049.53	Facility		$1,450.89	$1,947.52	$2,049.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,374.40 / $1,374.40 / $1,397.96	Facility		$1,374.40	$1,374.40	$1,397.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,561.44 / $2,245.16 / $2,774.82	Professional		$1,561.44	$2,245.16	$2,774.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,401.71 / $1,989.82 / $2,657.68	Professional		$1,401.71	$1,989.82	$2,657.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.33 / $1,667.12 / $2,934.15	Professional		$1,250.33	$1,667.12	$2,934.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $848.36 / $848.36 / $1,060.93	Professional		$848.36	$848.36	$1,060.93