Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.77 / $5,128.00 / $20,680.40	Facility		$1,600.77	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.47 / $1,103.82 / $2,361.61	Professional		$765.47	$1,103.82	$2,361.61
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 $1,235.78 / $2,047.71 / $7,914.68	Professional		$1,235.78	$2,047.71	$7,914.68
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 $913.48 / $1,560.79 / $2,678.45	Professional		$913.48	$1,560.79	$2,678.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $871.74 / $1,848.36 / $6,397.05	Facility		$871.74	$1,848.36	$6,397.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.67 / $1,782.10 / $5,065.67	Professional		$854.67	$1,782.10	$5,065.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $538.56 / $1,803.75	Professional		$80.00	$538.56	$1,803.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,191.39 / $1,651.00 / $1,790.24	Facility		$1,191.39	$1,651.00	$1,790.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,156.51 / $1,221.09 / $6,526.97	Facility		$1,156.51	$1,221.09	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,345.13 / $1,942.54 / $2,423.77	Professional		$1,345.13	$1,942.54	$2,423.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,179.49 / $1,733.38 / $2,313.94	Professional		$1,179.49	$1,733.38	$2,313.94
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 $1,031.89 / $1,439.90 / $2,527.69	Professional		$1,031.89	$1,439.90	$2,527.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $754.77 / $754.77 / $972.14	Professional		$754.77	$754.77	$972.14