Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.44 / $12,214.00 / $20,664.30	Facility		$869.44	$12,214.00	$20,664.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.92 / $5,341.41 / $12,063.32	Professional		$473.92	$5,341.41	$12,063.32
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 $801.03 / $9,792.98 / $20,733.43	Professional		$801.03	$9,792.98	$20,733.43
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 $619.58 / $1,703.08 / $16,842.95	Professional		$619.58	$1,703.08	$16,842.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $589.91 / $6,397.05 / $18,013.25	Facility		$589.91	$6,397.05	$18,013.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $6,279.70 / $16,928.99	Professional		$589.91	$6,279.70	$16,928.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $737.86 / $5,743.24 / $12,340.68	Professional		$737.86	$5,743.24	$12,340.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $950.06 / $10,557.51 / $13,567.50	Facility		$950.06	$10,557.51	$13,567.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $7,657.49 / $8,093.75	Facility		$2,173.66	$7,657.49	$8,093.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.78 / $1,576.67 / $14,515.69	Professional		$784.78	$1,576.67	$14,515.69
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 $760.90 / $3,429.88 / $13,820.35	Professional		$760.90	$3,429.88	$13,820.35
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 $7,721.94 / $11,300.42 / $17,935.36	Professional		$7,721.94	$11,300.42	$17,935.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $499.15 / $4,422.88 / $6,259.13	Professional		$499.15	$4,422.88	$6,259.13