Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.91 / $5,128.00 / $20,680.40	Facility		$1,455.91	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.57 / $1,007.62 / $2,213.17	Professional		$737.57	$1,007.62	$2,213.17
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 $1,122.36 / $1,821.58 / $6,944.78	Professional		$1,122.36	$1,821.58	$6,944.78
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 $821.26 / $1,419.55 / $2,407.00	Professional		$821.26	$1,419.55	$2,407.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $832.11 / $1,717.19 / $7,292.72	Facility		$832.11	$1,717.19	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.45 / $1,634.87 / $6,279.70	Professional		$762.45	$1,634.87	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $438.42 / $1,622.99	Professional		$78.54	$438.42	$1,622.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,107.89 / $1,494.77 / $1,598.62	Facility		$1,107.89	$1,494.77	$1,598.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,059.57 / $1,090.40 / $6,526.97	Facility		$1,059.57	$1,090.40	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.65 / $1,734.62 / $2,164.34	Professional		$1,215.65	$1,734.62	$2,164.34
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 $1,080.61 / $1,552.04 / $2,082.08	Professional		$1,080.61	$1,552.04	$2,082.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $953.40 / $1,302.41 / $2,284.37	Professional		$953.40	$1,302.41	$2,284.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $664.77 / $664.77 / $860.98	Professional		$664.77	$664.77	$860.98