Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.50 / $6,470.00 / $20,680.40	Facility		$1,452.50	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.77 / $1,424.02 / $3,149.31	Professional		$1,102.77	$1,424.02	$3,149.31
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 $1,589.01 / $2,552.06 / $9,834.60	Professional		$1,589.01	$2,552.06	$9,834.60
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 $1,167.76 / $2,008.72 / $3,400.69	Professional		$1,167.76	$2,008.72	$3,400.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,178.99 / $2,455.08 / $7,292.72	Facility		$1,178.99	$2,455.08	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.33 / $2,325.80 / $6,279.70	Professional		$1,094.33	$2,325.80	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $631.56 / $2,165.29	Professional		$116.51	$631.56	$2,165.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,568.49 / $2,142.66 / $2,263.26	Facility		$1,568.49	$2,142.66	$2,263.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,505.32 / $1,543.75 / $6,526.97	Facility		$1,505.32	$1,543.75	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,723.29 / $2,459.02 / $3,064.18	Professional		$1,723.29	$2,459.02	$3,064.18
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 $1,535.23 / $2,204.09 / $2,951.52	Professional		$1,535.23	$2,204.09	$2,951.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.53 / $1,810.48 / $3,238.30	Professional		$1,325.53	$1,810.48	$3,238.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $939.46 / $939.46 / $1,210.18	Professional		$939.46	$939.46	$1,210.18