Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,447.27 / $5,128.00 / $20,680.40	Facility		$1,447.27	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.49 / $1,000.72 / $2,164.00	Professional		$726.49	$1,000.72	$2,164.00
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 $1,115.32 / $1,846.86 / $6,900.90	Professional		$1,115.32	$1,846.86	$6,900.90
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 $815.47 / $1,411.14 / $2,392.08	Professional		$815.47	$1,411.14	$2,392.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $826.73 / $1,682.15 / $7,292.72	Facility		$826.73	$1,682.15	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.58 / $1,623.27 / $6,279.70	Professional		$751.58	$1,623.27	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $407.24 / $1,580.09	Professional		$78.68	$407.24	$1,580.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,100.54 / $1,479.43 / $1,588.57	Facility		$1,100.54	$1,479.43	$1,588.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.32 / $1,083.55 / $6,526.97	Facility		$1,052.32	$1,083.55	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.46 / $1,723.72 / $2,150.73	Professional		$1,208.46	$1,723.72	$2,150.73
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 $1,073.23 / $1,542.29 / $2,069.76	Professional		$1,073.23	$1,542.29	$2,069.76
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 $966.46 / $1,285.34 / $2,270.87	Professional		$966.46	$1,285.34	$2,270.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.63 / $660.63 / $855.69	Professional		$660.63	$660.63	$855.69