Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.45 / $1,309.35 / $2,879.83	Professional		$952.45	$1,309.35	$2,879.83
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 $1,461.53 / $2,424.61 / $9,044.93	Professional		$1,461.53	$2,424.61	$9,044.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.18 / $1,847.63 / $3,130.16	Professional		$1,072.18	$1,847.63	$3,130.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,082.28 / $2,238.69 / $7,292.72	Facility		$1,082.28	$2,238.69	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.06 / $2,132.94 / $6,279.70	Professional		$996.06	$2,132.94	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $614.49 / $2,037.49	Professional		$81.90	$614.49	$2,037.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,469.81 / $1,961.09 / $2,081.69	Facility		$1,469.81	$1,961.09	$2,081.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,381.65 / $1,419.90 / $6,526.97	Facility		$1,381.65	$1,419.90	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.05 / $2,258.79 / $2,818.36	Professional		$1,584.05	$2,258.79	$2,818.36
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 $1,409.10 / $2,022.53 / $2,713.04	Professional		$1,409.10	$2,022.53	$2,713.04
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 $1,245.72 / $1,690.62 / $2,976.63	Professional		$1,245.72	$1,690.62	$2,976.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $864.10 / $864.10 / $1,115.24	Professional		$864.10	$864.10	$1,115.24