Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.83 / $5,128.00 / $20,680.40	Facility		$1,592.83	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.00 / $1,207.82 / $2,370.03	Professional		$806.00	$1,207.82	$2,370.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,421.96 / $19,913.50 / $38,781.51	Facility		$9,421.96	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.74 / $2,035.71 / $7,596.90	Professional		$1,227.74	$2,035.71	$7,596.90
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 $900.78 / $1,553.05 / $2,631.45	Professional		$900.78	$1,553.05	$2,631.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $904.80 / $1,830.02 / $7,292.72	Facility		$904.80	$1,830.02	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.49 / $1,792.92 / $6,279.70	Professional		$829.49	$1,792.92	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $523.52 / $1,696.13	Professional		$79.72	$523.52	$1,696.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,186.29 / $1,628.99 / $1,748.70	Facility		$1,186.29	$1,628.99	$1,748.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,159.68 / $1,192.77 / $9,421.96	Facility		$1,159.68	$1,192.77	$9,421.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,330.74 / $1,897.47 / $2,367.53	Professional		$1,330.74	$1,897.47	$2,367.53
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 $1,182.72 / $1,698.12 / $2,279.19	Professional		$1,182.72	$1,698.12	$2,279.19
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 $995.20 / $1,393.28 / $2,500.65	Professional		$995.20	$1,393.28	$2,500.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $726.34 / $726.34 / $939.32	Professional		$726.34	$726.34	$939.32