Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.87 / $11,030.30 / $20,779.59	Facility		$931.87	$11,030.30	$20,779.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.24 / $5,367.56 / $14,402.20	Professional		$500.24	$5,367.56	$14,402.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,056.41 / $38,781.51	Facility		$6,526.97	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $856.80 / $9,930.37 / $20,838.52	Professional		$856.80	$9,930.37	$20,838.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.52 / $1,828.94 / $16,904.37	Professional		$665.52	$1,828.94	$16,904.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $633.62 / $6,397.05 / $18,096.91	Facility		$633.62	$6,397.05	$18,096.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.62 / $6,279.70 / $17,007.59	Professional		$633.62	$6,279.70	$17,007.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $737.86 / $5,781.95 / $12,466.18	Professional		$737.86	$5,781.95	$12,466.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,012.37 / $10,605.14 / $13,646.56	Facility		$1,012.37	$10,605.14	$13,646.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $7,691.31 / $8,133.62	Facility		$2,173.66	$7,691.31	$8,133.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.43 / $1,691.20 / $14,586.19	Professional		$841.43	$1,691.20	$14,586.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $815.83 / $3,429.88 / $13,881.38	Professional		$815.83	$3,429.88	$13,881.38
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 $7,565.99 / $11,159.85 / $18,012.48	Professional		$7,565.99	$11,159.85	$18,012.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $533.53 / $4,443.58 / $6,283.64	Professional		$533.53	$4,443.58	$6,283.64