Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $5,132.00 / $25,056.70	Facility		$1,125.00	$5,132.00	$25,056.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.16 / $1,024.20 / $2,238.77	Professional		$743.16	$1,024.20	$2,238.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.72 / $1,851.33 / $7,058.10	Professional		$1,140.72	$1,851.33	$7,058.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $8,315.84	Facility		$1,005.16	$1,223.70	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.43 / $1,444.67 / $2,448.59	Professional		$828.43	$1,444.67	$2,448.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $841.17 / $1,714.69 / $7,292.72	Facility		$841.17	$1,714.69	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.10 / $1,648.65 / $6,279.70	Professional		$764.10	$1,648.65	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $419.45 / $1,596.99	Professional		$78.68	$419.45	$1,596.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,116.29 / $1,520.23 / $1,624.75	Facility		$1,116.29	$1,520.23	$1,624.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,076.33 / $1,108.23 / $6,526.97	Facility		$1,076.33	$1,108.23	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,236.20 / $1,762.98 / $2,199.71	Professional		$1,236.20	$1,762.98	$2,199.71
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 $1,097.71 / $1,577.41 / $2,117.28	Professional		$1,097.71	$1,577.41	$2,117.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,129.00 / $24,764.99 / $40,868.01	Facility		$3,129.00	$24,764.99	$40,868.01
United Facility/Professional Professional Modifier Low / Median / High Price $968.66 / $1,310.47 / $2,285.71	Professional		$968.66	$1,310.47	$2,285.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $675.81 / $675.81 / $877.40	Professional		$675.81	$675.81	$877.40