Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.01 / $5,128.00 / $20,680.40	Facility		$1,370.01	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.72 / $947.25 / $1,999.00	Professional		$670.72	$947.25	$1,999.00
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 $1,062.03 / $1,713.03 / $6,535.65	Professional		$1,062.03	$1,713.03	$6,535.65
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 $766.92 / $1,335.81 / $2,266.02	Professional		$766.92	$1,335.81	$2,266.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $781.74 / $1,584.52 / $7,292.72	Facility		$781.74	$1,584.52	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.28 / $1,532.65 / $6,279.70	Professional		$710.28	$1,532.65	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $397.59 / $1,445.59	Professional		$78.54	$397.59	$1,445.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,038.80 / $1,395.61 / $1,504.15	Facility		$1,038.80	$1,395.61	$1,504.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $995.24 / $1,025.97 / $6,526.97	Facility		$995.24	$1,025.97	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.21 / $1,632.12 / $2,036.44	Professional		$1,143.21	$1,632.12	$2,036.44
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 $1,015.01 / $1,460.33 / $1,958.00	Professional		$1,015.01	$1,460.33	$1,958.00
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 $893.76 / $1,213.19 / $2,148.23	Professional		$893.76	$1,213.19	$2,148.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $625.01 / $625.01 / $810.92	Professional		$625.01	$625.01	$810.92