Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.78 / $5,116.62 / $20,680.40	Facility		$1,121.78	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.52 / $1,099.79 / $2,336.25	Professional		$787.52	$1,099.79	$2,336.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,713.85 / $20,273.81 / $38,781.51	Facility		$6,713.85	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.78 / $1,992.50 / $7,595.93	Professional		$1,235.78	$1,992.50	$7,595.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,540.05	Facility		$714.97	$870.49	$10,540.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.98 / $1,551.55 / $2,629.45	Professional		$899.98	$1,551.55	$2,629.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $910.35 / $1,879.90 / $8,362.11	Facility		$910.35	$1,879.90	$8,362.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.16 / $1,792.20 / $7,959.30	Professional		$836.16	$1,792.20	$7,959.30
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 $1,215.69 / $1,662.27 / $1,748.03	Facility		$1,215.69	$1,662.27	$1,748.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,159.23 / $1,192.31 / $8,497.21	Facility		$1,159.23	$1,192.31	$8,497.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.71 / $1,896.74 / $2,366.62	Professional		$1,329.71	$1,896.74	$2,366.62
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 $1,182.26 / $1,697.10 / $2,277.44	Professional		$1,182.26	$1,697.10	$2,277.44
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 $1,019.67 / $1,392.72 / $2,498.71	Professional		$1,019.67	$1,392.72	$2,498.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $725.51 / $725.51 / $937.62	Professional		$725.51	$725.51	$937.62