Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,588.79 / $5,116.62 / $18,800.00	Facility		$1,588.79	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.06 / $1,100.39 / $2,568.48	Professional		$785.06	$1,100.39	$2,568.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $18,873.74 / $38,781.51	Facility		$2,000.00	$18,873.74	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,313.79 / $2,061.79 / $8,713.58	Professional		$1,313.79	$2,061.79	$8,713.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.96 / $1,602.50 / $2,886.53	Professional		$911.96	$1,602.50	$2,886.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $874.35 / $1,879.92 / $6,397.05	Facility		$874.35	$1,879.92	$6,397.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.86 / $1,808.61 / $5,065.67	Professional		$869.86	$1,808.61	$5,065.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $543.51 / $1,909.19	Professional		$79.72	$543.51	$1,909.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,238.23 / $1,708.85 / $1,940.99	Facility		$1,238.23	$1,708.85	$1,940.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,163.76 / $1,323.93 / $6,526.97	Facility		$1,163.76	$1,323.93	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.78 / $1,999.93 / $2,627.87	Professional		$1,339.78	$1,999.93	$2,627.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,186.88 / $1,780.21 / $2,427.21	Professional		$1,186.88	$1,780.21	$2,427.21
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 $1,028.18 / $1,429.45 / $2,469.06	Professional		$1,028.18	$1,429.45	$2,469.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $806.12 / $806.12 / $1,035.68	Professional		$806.12	$806.12	$1,035.68