Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,388.66 / $4,011.00 / $18,711.00	Facility		$1,388.66	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.68 / $960.32 / $2,116.77	Professional		$696.68	$960.32	$2,116.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,056.41 / $38,781.51	Facility		$6,526.97	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,070.84 / $1,747.83 / $6,622.95	Professional		$1,070.84	$1,747.83	$6,622.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.25 / $1,353.98 / $2,296.60	Professional		$780.25	$1,353.98	$2,296.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $792.48 / $1,632.08 / $7,292.72	Facility		$792.48	$1,632.08	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $1,553.67 / $6,279.70	Professional		$723.84	$1,553.67	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $399.18 / $1,466.02	Professional		$78.68	$399.18	$1,466.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,051.05 / $1,439.16 / $1,524.25	Facility		$1,051.05	$1,439.16	$1,524.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,008.83 / $1,039.68 / $6,526.97	Facility		$1,008.83	$1,039.68	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.61 / $1,653.93 / $2,063.65	Professional		$1,158.61	$1,653.93	$2,063.65
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 $1,028.86 / $1,479.84 / $1,984.40	Professional		$1,028.86	$1,479.84	$1,984.40
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 $925.41 / $1,229.41 / $2,166.69	Professional		$925.41	$1,229.41	$2,166.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $634.13 / $634.13 / $822.90	Professional		$634.13	$634.13	$822.90