Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.87 / $4,011.00 / $18,711.00	Facility		$1,421.87	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,075.70 / $2,149.67	Professional		$750.00	$1,075.70	$2,149.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,400.95 / $19,056.41 / $38,781.51	Facility		$6,400.95	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.79 / $1,673.43 / $7,170.75	Professional		$1,087.79	$1,673.43	$7,170.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.17 / $1,386.36 / $2,355.67	Professional		$792.17	$1,386.36	$2,355.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $806.05 / $1,631.25 / $7,292.72	Facility		$806.05	$1,631.25	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.56 / $1,576.15 / $6,279.70	Professional		$731.56	$1,576.15	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $414.42 / $1,521.65	Professional		$78.68	$414.42	$1,521.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,055.73 / $1,459.93 / $1,561.10	Facility		$1,055.73	$1,459.93	$1,561.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,031.03 / $1,064.81 / $6,526.97	Facility		$1,031.03	$1,064.81	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,184.82 / $1,693.91 / $2,113.54	Professional		$1,184.82	$1,693.91	$2,113.54
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 $1,051.51 / $1,515.62 / $2,029.28	Professional		$1,051.51	$1,515.62	$2,029.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.05 / $1,249.91 / $2,190.69	Professional		$921.05	$1,249.91	$2,190.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $649.04 / $649.04 / $845.77	Professional		$649.04	$649.04	$845.77